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Melted And Warped Enamel

Orthodontic treatment is often times indispensable, and is frequently a great help in preventing future emergency from occurring. That being said,medical science is not an exact one, and always evolves along with the human species. This is why sometimes orthodontic devices such as braces and fixed appliances can cause dental emergencies as well. One of the rarer ones to take place is the one I wish to speak of right now, namely, the melting of the enamel on the teeth. 

White Spots And Pulsing Gingivae

The sight of melting enamel is one to fill any dentists with dread, let alone the patients experiencing the problems. White spots will appear, the gingiva will pulse and become large, large enough to get caught i the braces themselves, and they almost always cover a good portion of the teeth, something like a third of the visible portions of the teeth will be covered. The enamel will literally be missing in spots, with the yellowish, unsightly cementum being visible underneath the melted enamel. Overall, this is not a pretty sight. 

What Causes The Enamel To Melt Off? 

With orthodontic braces, you are immediately considered at risk for developing oral caries and cavitation. This is because the device works through inflammation of the gums. The orthodontic appliance causes an inflammation of the soft tissues of the periodontitis  making it easier for the teeth to travel through them and be realigned properly. With this intense immune response in pace, the capacity to fight off bacteria weakens. This is why bacteria can easily enter the gingiva, causing further inflammation, and causing the bacteria to make acid, as the eat away at the food detritus and microscopic landscape inside your mouth. This acid that is a by product of bacterial life (lie feces or urine is to human life) is what causes the enamel to be eaten away and to melt right off of the teeth. 

Treatment

Once the braces are off, there are several things to do to regain the enamel you have lost, but none of these methods is one hundred percent effective, though. You can (and should) invest in some fluoride, as this is what most of the enamel is made up of anyway. There are pastes, topical ointments and creams that you can apply to your tooth. You can also invest in some prophy pastes or in some bicarbonate based replacements as well. 

The other thing you can do is to get some RMGIs, which is an acronym for resin modified glass ionomers. They make crowns out of this material, and they also make little paste like products which you can put on your tooth if the enamel will not regrow. It will insulate and protect the delicate internal structures of the tooth, and will serve as a bridge between the bits of enamel that are actually still there.