Repairing and protecting worn teeth with modern dentistry
A large portion of the population has some degree of tooth wear, and many people are completely unaware of it. Tooth wear can happen gradually over time, making it easy to overlook. However, once teeth become worn, the damage can continue to progress if left untreated, leading to further complications and more extensive treatment needs.
Some signs of tooth wear are obvious — chipped teeth, changes in tooth shape, teeth appearing yellower or darker in colour, and sensitivity to hot, cold, or sweet foods and drinks. Less obvious signs include translucency or thinning of the edges of the front teeth, small dips appearing in the biting surfaces of the back teeth, and notches forming near the gum line. These signs indicate that the protective enamel covering your teeth has been damaged. Once enamel is worn away, it does not grow back.
Erosion is caused by acidic foods and drinks dissolving the tooth structure over time. Our modern snacking culture, along with the popularity of fresh fruit juices and smoothies, is contributing to an increase in acid wear. Acid reflux may also be a cause of dental erosion, as stomach acid repeatedly comes into contact with the teeth.
Abrasion is caused by an object being rubbed against the tooth surface. Common causes include brushing too hard, using a hard-bristled toothbrush, or using an abrasive toothpaste. Over time, this mechanical wear can remove enamel and expose the softer dentine underneath.
Attrition is caused by teeth rubbing against each other, often as a result of a grinding or clenching habit. Many people grind their teeth during sleep without realising it. Over time, this can cause significant wear to the biting surfaces of the teeth.
Every dental check-up includes an assessment of your teeth for signs of wear. Treatments range from preventive measures to protect your remaining tooth structure, through to restorative procedures to repair damage that has already occurred. It is important to act early, because the inner dentine layer of the tooth wears at a faster rate than enamel once it becomes exposed.
Composite dental bonding is one of the most effective treatments for worn teeth. It is a comfortable, conservative procedure that avoids drilling and works by bonding tooth-coloured composite resin directly to the tooth structure, restoring shape, strength, and appearance. Composite bonding for worn teeth starts from £110 per tooth.
For patients who grind or clench their teeth, custom-made mouthguards can protect against further wear and damage. Custom mouthguards are available from £120.
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