Why Do Teeth Wear Down? Causes, Signs and Treatment Options

Tooth wear is a common dental condition involving the gradual loss of tooth structure over time. Unlike tooth decay, tooth wear is not caused by bacteria, but by physical or chemical factors that affect the enamel and dentine. Early diagnosis and appropriate management are important to prevent further damage and maintain long-term oral health.

At Surry Hills Dental Care, tooth wear is assessed carefully to identify the underlying cause and determine the most suitable treatment.

What Causes Tooth Wear?

Tooth wear can occur due to one or more of the following processes:

Attrition
Attrition occurs when teeth wear against each other, commonly due to teeth grinding or clenching (bruxism). This can result in flattened biting surfaces, shortened teeth, and jaw discomfort.

Erosion
Dental erosion is caused by frequent exposure to acids. Common sources include soft drinks, citrus fruits, sports drinks, and wine. Medical conditions such as acid reflux or frequent vomiting can also contribute to erosion.

Abrasion
Abrasion occurs when teeth are worn by external forces, such as aggressive brushing, using a hard toothbrush, or abrasive toothpaste.

Most patients experience a combination of these factors rather than a single cause.

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Signs and Symptoms of Tooth Wear

  • Increased tooth sensitivity
  • Changes in tooth shape or length
  • Chipping or cracking
  • Yellowing of teeth due to exposed dentine
  • Bite changes or jaw discomfort

Tooth Wear Treatment Options

Treatment for tooth wear depends on the cause, severity, and individual risk factors.

Preventive Management

Early tooth wear may be managed with:

  • Dietary advice to reduce acid exposure
  • Modifying brushing technique
  • Protective night guards for teeth grinding
  • Monitoring tooth wear progression

Restorative Treatment

Moderate to severe tooth wear may require restorative treatment to rebuild lost tooth structure and restore function. Options may include

  • Composite bonding
  • Ceramic restorations
  • Crowns or overlays for heavily worn teeth
 

Addressing the underlying cause is essential to prevent further wear after treatment.

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Tooth Wear Assessment in Surry Hills

A comprehensive dental examination is required to accurately diagnose tooth wear and develop an appropriate treatment plan. This may include bite assessment, medical history review, and evaluation of lifestyle factors.

If you are experiencing signs of tooth wear or changes in your teeth, an assessment at Surry Hills Dental Care can help determine the most suitable management approach.

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Get in Touch

Reach out to the team at Surry Hills Dental Care to find how we can help you.  If you require urgent dental care, please call us immediately.

Hours

Monday to Friday: 9am to 5pm
Saturday: 9am to 1pm by appointment

Surry Hills Dental Care

Creating bright smiles and healthy gums with our high quality dentistry