Rebuilding teeth affected by reflux: when dentistry and medicine should work together
Reflux-damaged teeth can usually be rebuilt, often with bonded composite or ceramic that adds material back rather than cutting teeth down, but the dentistry works best when the reflux itself is being evaluated and controlled by your physician, because new restorations sit in the same acid unless the cause is managed.
A dentist can recognize the pattern of erosion and may be the first to suspect reflux, but diagnosing and treating it is medical.
What the dental exam documents
The erosion pattern, often the inside surfaces of upper teeth and the chewing surfaces of lower back teeth; remaining enamel; sensitivity (OHF); bite height lost; grinding that compounds wear; photographs or scans for monitoring.
The medical side
Reflux and silent reflux can occur without heartburn: hoarseness, throat clearing, a sour taste on waking, or night cough are clues. Evaluation, lifestyle advice and any medication are your physician's; this page gives no doses. Tell your physician that your dentist has seen an erosion pattern; it is useful evidence. If vomiting is part of the picture, that too is medical and deserves support.
Coordination
- Dentist documents and shares the pattern, with your permission
- Physician evaluates and manages reflux
- Dentist stabilizes sensitive or thin teeth meanwhile with fluoride, desensitizing measures and temporary protection
- Definitive restorations proceed once the acid exposure is controlled, or in stages with protection
- Both sides review at intervals
How the rebuilding works
Bonded composite or ceramic added to worn surfaces; the bite height restored and tested in provisionals; a night guard if grinding is present. Adding material rather than removing it fits the studio's conservative approach (studio). Materials wear in acid, so control of the cause protects the investment.
Red flags that belong with a physician promptly
Difficulty swallowing, unintended weight loss, vomiting blood or black stools, or chest pain. Those are not dental questions.
If any of these apply, this is not a dental-office problem first: trouble breathing or swallowing, rapidly spreading swelling of the face or neck, fever with facial swelling, bleeding that will not stop, or a serious injury to the head or jaw. Call 911 or go to the nearest emergency department. Do not use the appointment request form for these.
The studio describes reconstruction for worn teeth (studio).
Next step: Request a consultation or call (805) 565-5111. A request is not a confirmed appointment; the office confirms times during its listed hours (Monday to Thursday, 8 am to 5 pm, plus select Fridays).
Medical referral and restorative coordination checklist
Dental side
- Erosion pattern documented with photos or scan
- Sensitivity and bite height recorded
- Grinding assessed
- Interim protection in place
- Summary shared with physician (with my consent)
Medical side
- Physician appointment booked: ________
- Reflux evaluated; plan as prescribed
- Any other contributing condition addressed
Joint
- Timing for definitive restorations agreed
- Review dates set: dental ________ medical ________
See a physician promptly for: difficulty swallowing, weight loss, vomiting blood, black stools, chest pain.
Guides are general education; an examination is needed for individual advice.
Sources
- Sensitive teeth (updated Jun 2026) — Oral Health Foundation
- Loul Dental Studio: Biomimetic Dentistry — Loul Dental Studio
- Loul Dental Studio: Full Mouth Reconstruction — Loul Dental Studio
- Clinician statement — Loul Dental Studio
- Clinician statement — Loul Dental Studio
Sources were current when this guide was last updated.
Educational content, not a diagnosis. Please contact the studio to discuss your own situation.