DENTAL PROBLEMS
Tooth Wear
DENTAL PROBLEMS
Tooth Wear
Tooth wear is the term used when tooth structure is lost due to a factor other than bacteria. The main types of tooth wear are Erosion, Attrition (grinding) and Abrasion.
Erosion
This occurs when exposure to acidic substances causes the outer layer of teeth to soften and break down. Frequent exposures to acidic foods and beverages, or people with a history of reflux or vomiting are at risk of erosion.
Attrition
Also known as grinding, this is the form of tooth wear caused by opposing teeth rubbing against each other. Attrition is very common and is detected when the biting surface of teeth starts to flatten. Attrition may happen during the day or night and is often (but not always) related to stress.
Abrasion
Abrasion is the form of tooth wear caused by something external. Over-brushing is a common cause of abrasion.
What are the issues with tooth wear
While tooth wear is very commonly seen, it can become concerning in cases where significant amounts of tooth have been lost. Complications of tooth wear include:
- Enhanced sensitivity
- Structural compromise
- Loss of tooth height
- Nerve involvement
- Poor bonding of fillings
The damage that occurs following tooth wear is often irreversible and can be complex to restore. Therefore preventing tooth wear is optimal in maintaining a healthy dentition.
Treatment
Earlier signs of tooth wear don’t always require treatment, however once detected, it is important to identify causative factors and prevent further damage. Although most cases of tooth wear progress slowly, regular check-ups are essential to monitor for any changes, as well as to implement preventative measures, including:
- Habitual changes
- Dietary changes
- Occlusal splint (mouth guard)
- Fillings
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