“Damage Control”

– Damage control is also known as Managed Preventive Care

Teeth wear down but they do not heal. However, if their age matches the overall body’s chronological age, it is not an issue since they are built to last longer than the average lifespans. As long as premature wear due to grinding or chemical erosion does not occur, they could easily last over 100 years. Our body does age but it does it slower and slower thanks to the latest medical advances. Stress, bad nutrition and inappropriate prophylaxis cause the occlusion (the bite – how teeth come in contact with one another) to become unbalanced, leading to a premature aging of the teeth, faster than our body.

Do crowns, implants, fillings help preserving our teeth?! 

Yes, they do. However, in spite of the amazing possibilities that modern dentistry offers such as the variety of ceramics, dental implants and composite materials, none of them are better than the original tooth structure or its periodontal support system. 

Therefore, oral prophylaxis and in particular, Managed Preventive Care is much more valuable than any crown or implant. Statistical research clearly shows that no crown, filling and even implant can last a lifetime.  Teeth however, can. Preserving and managing what nature built still turns out the most predictable results; all we have to do it to prevent premature ageing.


Source: Aging-associated diseases, Wikipedia

So, how can we keep our teeth from needing crowns, fillings or simply not losing them? 

Establish the risk factors – genetic, epigenetic, nutritional, wear prevention – and determine how long can we wait until the point where the damage can become unmanageable. Statistically, that can be determined by integrating all patient’s data into a coherent Preventive protocol. Only at the time when individualized preventive dentistry is not capable anymore to stop rapid degradation, we resort to restorative dentistry such as all ceramic restorations, composite materials together with regenerative & bio-stimulating procedures. Postponing invasive treatments should be done scientifically, with the help of high-resolution differential diagnostics and not by overlooking the symptoms hoping for a healing effect. Remember, teeth don’t heal and periodontal ligaments cannot regenerate. Evidence-Based Dentistry is proven to succeed in preserving the teeth and their associated structures and more importantly, prevent the need of inorganic prostheses such as crowns, bridges or implants.

Costin Marinescu
Dr.-medic stom., D.D.S. (USA)