Oral and Maxillofacial Surgery Expert Forum
Why are my teeth breaking off when they are healthy?
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Questions in the Oral and Maxillofacial Surgery forum are answered by Dr. Michael H Kirsch and Dr. Mario Tuchman. Topics covered include teeth extractions, wisdom teeth, dental implants, bone grafting, orthognathic surgery, facial bones realignment, facial trauma repair, jaw alignment, anesthesia , jaw cyst or tumor diagnosis, reconstructive jaw surgery, temporomandibular joint syndrome (TMJ) and TMJ surgery.

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Why are my teeth breaking off when they are healthy?

Let me start by saying I am not bulimic or a methampetamine user.  Recently, while chewing a piece of popcorn, one of my teeth broke off (1/2 of the actual tooth) in my mouth. It alarmed me however I had a filling in the tooth and the filling remained intact.  Later that same day, while chewing a piece of toast, another tooth broke off, again more than half of the tooth is now gone.  I recently started injections for acute back pain and am on my second injection.  I am now wondering if this is a possible side effect since my teeth are otherwise in excellent shape.  I visit the dentist twice a year and have not had cavities in ages.  I have all my real teeth and take great care of them.  I am devastated and will be going to the dentist on Tuesday to get temp crowns or whatever they feel needs to be done.  What could possibly cause dramatic teeth cracking without eating hard foods.  I am desperate as I am limiting myself to liquid foods to avoid losing any others!  
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There are several likely explanations and I will list them below.  Your question is best answered by your dentist after throughly examining your entire oral cavity.

medications causing dry mouth (xerostomia)
dry mouth in of itself
old restorations and large fillings
coincidence in timing
cariogenic bacteria in the mouth
clenching and/or grinding of the teeth
change in occlusion

Information contained within this reply is intended solely for general educational purposes and is not intended nor implied to be a medical diagnosis or treatment recommendation.  This is not a substitute for professional medical advice relative to your specific medical condition or question. Always seek the advice of your own doctor for medical condition. Only your doctor can provide specific diagnoses and therapies.
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Michael H Kirsch, DDSBlank
Dr. Michael H. Kirsch
Caldwell, NJ
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