I have always taken good care of my teeth but for almost a year now there has been a severe increment in the acidity in my mouth, accompanied by relatively sudden yellowing of my teeth. X-rays have revealed recession of the bony support of my lower incisors, resulting in sub-gum pockets, repositories of bacterial "cesspools". My dentist attributes the bony recession to trauma, possibly the fractured jaw I suffered playing rugby at St. Amdrews U over 40 years ago. Last year I went on a 670km charity bicycle ride in India and was knocked off by a motorised tricycle on the first day. Though protected by a helmet, my head hit the tarmac with quite an impact -- more trauma? Also I was silly enough to take chai at roadside cafes. Goodness knows what bacteria I may have ingested! Is there any way I can put an end to this discomfort?                          Yours faithfully,                                              Alexander Coldwell
Hello Alexander :)Welcome to Chat Doctor. Acid reflux or HERD can erode your enamel. Enamel is transparent outer part of the tooth. This acid can be from the stomach or beverages. Thinning of your enamel made your teeth yellow. Get treated for the acid reflux immediately. Reduce affine intake. You can get a whitening treatment if you are really concerned about aesthetics. However, there are chances of developing a generalized sensitivity in all your teeth after a whitening treatment. Weigh all the pros and cons before you get it done. Your lower front teeth, get a deep scaling and root planning therapy done. This cleans the pockets and makes them bacteria free. Your jaw fracture can contribute to this gum infection, but to an extent. It mostly depends on your oral hygiene. Use an interdental brush for maintenance. Regards.