Having worn teeth is a common dental issue that can affect anyone. Whether because of age or lifestyle, worn teeth can affect your smile and quality of life. Tooth wear can cause several problems that may interrupt your health, like tooth sensitivity, difficulty eating, and an increased risk of tooth decay.
Causes of Worn Teeth
Some of the most common causes of worn teeth include bruxism, acid erosion, abrasion and age.
Bruxism: The Silent Grind
Bruxism, or teeth grinding, is a common but often unnoticed habit that can seriously damage teeth over time. Many people grind or clench their teeth during sleep without realizing it. Though some do it while awake, especially during stressful moments. The constant pressure and friction wear down the enamel and leaves them shorter, flatter, and more sensitive.
In severe cases, bruxism can cause cracks, chips, or even loose teeth. Dentists often spot the signs during checkups, such as flattened chewing surfaces or jaw pain. Since bruxism is frequently linked to stress or misaligned teeth, treatments like night guards, stress management, or orthodontic care can protect teeth from further damage.
Acid Erosion: The Slow Dissolver
Acid erosion happens when acidic foods and drinks soften and dissolve tooth enamel over time. Citrus fruits, soda, wine, and even some healthy foods like tomatoes and vinegar-based dressings contribute to this problem. Stomach acid from conditions like acid reflux or frequent vomiting can also erode teeth, especially on the inner surfaces.
Unlike cavities, acid erosion creates a smooth and shiny wear pattern on teeth. This makes them look thinner and more translucent at the edges. Since enamel doesn’t grow back, prevention is key. Rinsing with water after consuming acidic foods, using a straw for drinks, and waiting at least 30 minutes before brushing can protect teeth.
Abrasion: The Brushing Mistake
Abrasion occurs when teeth are physically worn down by outside forces—most often, aggressive brushing. Using a hard-bristled toothbrush, scrubbing sideways (like sawing back and forth), or applying too much pressure can scrape away enamel, especially near the gumline.
Over time, this causes notches in the teeth, called abfraction lesions, which expose the sensitive dentin underneath. Other habits, like biting nails, chewing on pens, or using teeth as tools to open packages, can also cause abrasion. To prevent it, dentists recommend soft-bristled brushes, gentle circular motions, and electric toothbrushes. Some electric toothbrushes have pressure sensors that alert you if you’re brushing too hard.
Age: The Unavoidable Wear
Even with perfect habits, teeth naturally wear down over a lifetime. Decades of chewing, biting, and grinding food gradually flatten the chewing surfaces of molars, while the edges of front teeth may become shorter or uneven. Older adults might notice their teeth looking more yellow as the thinner enamel reveals the darker dentin underneath.
While this kind of wear is normal, it can lead to sensitivity, difficulty chewing, or changes in bite alignment. Regular dental checkups help monitor age-related wear. Treatments like bonding, crowns, or veneers can restore teeth if the wear becomes problematic.
Restorative Treatment Options for Worn Teeth
If you have worn teeth, there are several restorative treatment options available. Your dentist can help determine the best treatment option for your specific needs.
Dental Bonding
Dental bonding is a cosmetic procedure that uses tooth-colored resin to repair and restore worn teeth. Unlike other procedures, dental bonding is quick and minimally invasive. Because the resin acts as enamel, this procedure can help to protect teeth from further wear and decay.
Dental Crowns
Dental crowns are a type of restorative treatment option that can repair severely worn teeth. Much like a protective cap, dental crowns sit over the top of a reshaped tooth. Your dentist will create custom-made crowns to fit over the existing tooth and provide additional strength and protection.
Veneers
Porcelain veneers are a cosmetic treatment option that can restore the appearance of worn teeth. To improve the appearance of your teeth, your dentist will install thin, custom-made shells. Then, they will place the veneers on the front surface of your teeth to camouflage any imperfections.
Dental Implants
In severe cases of tooth wear, dental implants may be the best treatment option. Dental implants are a permanent solution that can replace missing teeth. A dental implant is a titanium prosthetic tooth root that your dentist will place in your jaw.
Lifestyle Changes
In addition to these treatment options, your dentist may also recommend lifestyle changes to help prevent further tooth wear. For example, using a soft-bristled toothbrush and brushing your teeth gently can minimize damage to your teeth. Additionally, you may need to switch your diet if it affects your enamel. Finally, wearing a night guard can reduce damage from grinding your teeth.
Are you ready to restore your worn teeth and oral health? Call Dr. Trinkner, your restorative and cosmetic dentist in Columbia, SC, at 803-400-8729. You can also request a dental exam online anytime.