Dental Nation
Condition guide

Worn-Down Teeth (Attrition)

Repeated tooth-to-tooth contact can wear biting edges and chewing surfaces, sometimes causing sensitivity or impaired function.

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The short answer

Attrition wears away tooth surface through repeated tooth-to-tooth contact and can affect biting edges or chewing surfaces.

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Worn-Down Teeth (Attrition) dental educational illustration

What the change looks like

Illustrative diagram: Worn-Down Teeth
Illustration — a representative diagram, not a patient photo.
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What symptoms can it cause?

Symptoms patients may describe
SituationWhat it means for the patientQuestion to ask
What you noticePossible significanceUseful detail to record[1][2]
Appearance or sensationShows where the finding is affecting daily lifeWhen it began and what changes it[1][2]
Change in cleaning or eatingMay indicate a functional effectWhether it is getting easier or harder[1][2]

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What causes it?

Attrition is caused by teeth contacting one another repeatedly. Clenching, grinding, malocclusion and other parafunctional activity can add the mechanical forces linked with tooth wear.

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How does it change over time?

Wear can begin as a change in tooth shape and progress to loss of mineralized tooth substance. It may be painless, but it can also bring hypersensitivity or trouble with normal function.

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How the finding may present over time
SituationWhat it means for the patientQuestion to ask
Earlier changeThe finding is limited or subtleAssessment can establish a baseline[1]
More established changeThe pattern is easier to see or feelThe cause and extent guide the plan[1]
More extensive changeFunction, comfort, or cleaning may be affectedPrompt review helps define options[1]

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Who is more likely to notice it?

Clenching, grinding, malocclusion and other parafunctional activity can create the repeated contact that causes attrition. Acid exposure and tooth brushing can add other forms of wear.

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How is it diagnosed?

A clinical examination looks at the shape and position of the worn surfaces and considers whether attrition, abrasion, erosion or a combination is present. Finding the cause guides care.

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How is it treated at each stage?

Care begins by addressing the forces causing wear. For advanced lesions, restorative treatment may reduce progression, relieve dentine sensitivity and pain, or restore appearance and function.

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Treatment planning by clinical situation
SituationWhat it means for the patientQuestion to ask
Finding confirmedThe plan follows the examination and causeAsk what each line of care addresses[1][2]
Cause addressedThe contributing exposure or process is managedAsk how progress will be checked[1][2]
Ongoing reviewThe result is checked against symptoms and functionKeep the follow-up instructions[1][2]

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What should you ask about the cost in Dubai?

The amount of care required depends on the extent of wear and whether restorative work is needed to relieve pain or sensitivity and restore function.

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What can happen if it is left alone?

Ongoing wear can change tooth shape and is associated with hypersensitivity and impaired function. Advanced lesions can require restorative intervention to restore function.

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How can you reduce further damage?

Recognising the cause can help control progression. Measures include changing eating, drinking or toothbrushing habits and addressing clenching, grinding or other contributing forces.

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Frequently asked questions

What should I do about Worn-Down Teeth (Attrition)?

People may notice loss of tooth surface where teeth repeatedly contact one another. The pattern may affect biting edges or chewing surfaces and can be easier to recognise when compared with older photographs or records. The visible change can be mild at first, while discomfort, bleeding, sensitivity, or a change in function may make it more obvious. Symptoms alone do not identify the cause, so the dentist will relate what you noticed to the location, pattern, and history. A short note about when it began and what makes it worse can make the appointment more useful.

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