Understanding Tooth Wear
Tooth wear is a common issue that many of our patients at Park Royal Dental Clinic experience, yet it often goes unnoticed until significant damage has occurred. Unlike tooth decay, which is caused by bacteria and acid, tooth wear refers to the gradual loss of tooth structure through physical processes. Understanding the different types of wear and their causes can help you protect your teeth and maintain a healthy smile for years to come.
The Three Main Types of Tooth Wear
Attrition
Attrition occurs when teeth wear down due to tooth-to-tooth contact. This is most commonly caused by grinding your teeth, a condition known as bruxism. Many people grind their teeth at night without realising it, which can gradually flatten the biting surfaces of your teeth. Stress, anxiety, and sleep disorders are common triggers for bruxism, making it particularly prevalent in our busy London patients.
Abrasion
Abrasion is tooth wear caused by external factors rubbing against your teeth. This can result from aggressive brushing with a hard-bristled toothbrush, using your teeth to open bottles or tear packaging, or habits like nail-biting. Abrasion typically affects the neck of the tooth, near the gum line, and can be particularly damaging if left unchecked.
Erosion
Erosion is caused by acid exposure, which softens and dissolves tooth enamel. This can result from consuming acidic foods and drinks—such as citrus fruits, fizzy drinks, sports drinks, and wine—or from stomach acid in cases of acid reflux or bulimia. Unlike decay, erosion affects the tooth uniformly and can expose the softer dentine beneath the enamel, leading to sensitivity and discolouration.
What Causes Tooth Wear?
Several factors can accelerate tooth wear:
- Dietary habits: Frequent consumption of acidic foods and drinks
- Lifestyle choices: Smoking and certain recreational activities
- Stress and anxiety: Leading to teeth grinding
- Poor oral hygiene habits: Including overly aggressive brushing
- Medical conditions: Such as gastro-oesophageal reflux disease (GORD) or eating disorders
- Age: Enamel naturally thins over time
- Occupation: Environmental exposure to acids or dust in certain professions
Why Regular Dental Check-ups Are Essential
Early detection is crucial when it comes to tooth wear. During your regular dental check-up at Park Royal Dental Clinic, our dentists can identify early signs of wear that you might miss yourself. We can assess the extent of damage, determine the underlying cause, and recommend appropriate interventions before the problem progresses.
Professional reviews allow us to:
- Monitor changes in your teeth over time
- Identify which type of wear you're experiencing
- Recommend protective measures tailored to your lifestyle
- Discuss treatment options if significant wear has already occurred
- Provide guidance on oral hygiene and dietary habits
Protecting Your Teeth
If you're experiencing tooth wear, there are several steps you can take to prevent further damage. Use a soft-bristled toothbrush and avoid aggressive brushing. Limit acidic food and drink consumption, and if you do indulge, rinse your mouth with water afterwards rather than brushing immediately. If you grind your teeth, ask your dentist about a night guard to protect your teeth whilst you sleep.
Don't wait until tooth wear becomes a significant problem. Book a regular check-up with our team at Park Royal Dental Clinic in NW10 to ensure your smile remains healthy and protected.