Are my nasty teeth saveable?

[Jakeyboy]

So some background, i am 30 and have never been to the dentist and spent my whole life with depression and not looking after myself, i have been on auto pilot my whole adult life not eating and getting up just to go back to sleep later, i have started treatment for it all and have a new lease on life and determination but am saddened and disheartened by how my teeth have gotten, cant even remember the last time i looked at them in a mirror! from what the pictures show can anyone tell me if i have any hope of restoring them? I probably have cavities but i have never had tooth pain strangely. Any advice would be great as i am terrified of my first dentist appointment and what they will say, i am ashamed. Thanks in advance

 

[MattKW]

If you find a decent dentist, then they're not out to embarrass you. I used to see drug addicts during rehab and they were some of the most grateful and rewarding patients. For your first visit, just get an examination and Xrays. If time allows, they should give you a full discussion and treatment plan with costs. I sometimes have to leave that to a the second appointment. It's the chance for you to discuss how you see your needs and fear. If you want to get a second opinion, then you have the right to ask for copies of your records, including Xrays) to get a 2nd opinion elsewhere. I have no problem with such patients - it makes good sense.
Looking at your pics, I can see that there has been some neglect; I would need xrays and better photos for fuller idea, but as you say, no toothaches so that's a good sign. It does look like you might drink a lot of soft drinks or sports drinks? because the tips of your teeth look too sharp (erosion). If that's true, then one of the best and simplest things to do is change over to plain tap water. Long term erosion is a real bugger to treat, so better to prevent. Good luck.