Front Teeth Erosion, Bonding Fail

Joined
Sep 4, 2020
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Hi all!

I (32/f) moved to a new state in 2015 and was sad to leave my long time family dentist. I went to my first cleaning at a new dentist and they said I should have my front teeth bonded due to abnormal erosion. They couldn’t figure out what caused the erosion (“do you suck on lemons?”). Basically there are “indents” in the top middle 2 teeth, especially towards the inside. In photos this area looks grey. The top teeth do look thin and there are vertical cracks.

They bonded the front middle 4 teeth. It looked fine. The bonding came off a tooth within 24 hours, first when I bit into a piece of pizza. They rebonded it, and then I bit into a soft tortilla and another entire bonded tooth piece came off. They rebonded my front teeth maybe 8 times over the next 2 months, all 4 teeth, and even had the orthodontist next door check my bite (couldn’t find any issues). The bonded pieces either all came off pretty quickly, or they detached in corners and I would feel it unattached with my tongue, and things like a piece of black pepper would be stuck in between the tooth and the bonding (and then it would eventually loosen and fall off). I was back at square one (nothing on the teeth) and horrified of going back to have this work done again just for it to fail. I literally have post traumatic stress from this experience, being horrified to eat anything, have the anxiety that my teeth are going to crack and fall out constantly. I had nightmares for years and would constantly check my front teeth with my tongue to make sure everything was ok. (Also, the last time and final time I went in, the bonding on the front teeth was so ridiculously crooked.)
SO... are my front teeth cursed? Should I let another dentist (maybe a cosmetic specialist) bond them? Should I do veneers? Crowns? (I’m horrified that they’ll just break and fall off like the bonding!) Cost isn’t an issue, but my sanity is.
Any helps or ideas appreciated!

Extra background info: I had braces for 5 years or so, 2nd grade to 7th grade. I have a permanent metal bar/retainer on my lower bottom teeth (this is bonded on, and still holding strong).

Note: Photos included. These are current photos, no bonding.
 

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Dr M

Verified Dentist
Joined
May 31, 2019
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Good day

It does like you have extremely thin enamel. Although rare, in some cases enamel dysplasia could be related to either an infection, genetics or antibiotics use during the development and mineralization of the affected teeth.
Bonded restorations tend to not last very long, since they can easily be chipped off due to the fact that you use these teeth to bite into things.
The best option for you would most likely be full coverage crowns. With the fact that your enamel is already so thin, unfortunately the crown preparations might need to go hand in hand with root canals, due to the preparations being close to the nerve.
They will most likely give you a better outcome than bonded restorations and/or veneers which is almost as expensive as full crowns.
 

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