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16. Bruxing Sideways: Effect on        Canine/Molars

Grinding of cuspid (canine) developing to back tooth wear, recession and abfraction

   
  Purposes

Show that canine bruxing breaks down anterior guidance, leading to problems with molars including recession, looseness, wear, cracks and abfractions.

Illustrate that the recessions and abfractions we see at gum lines are not only from brushing teeth too hard but from flexure and repeated bending.

   
  Presenting

State how the front teeth have longer roots in general than the back teeth, and experience smaller forces as they are further from the fulcrum.

Explain that possibly when searching for a centric bite, nervous habits, or stress, we can also wear down our front teeth - shown in an accelerated manner in this animation.

When the front teeth wear down, anterior guidance is lost.

Back teeth can now experience sideways forces that they do not bear well, so they are loosened.

Teeth can also bend slightly by these forces causing abfractions where the hard enamel of the crown meets the softer cementum of the root.

Photos illustrate how abfractions can also occur in the front teeth when they are experiencing bruxing.

   
   

 
 
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