Tooth wear: Difference between revisions
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{{Infobox medical condition | |||
| name = Tooth wear | |||
| image = [[File:Oral_Manifestation_of_Bulimia..jpg|250px]] | |||
| caption = Severe tooth wear due to [[bulimia]] | |||
| field = [[Dentistry]] | |||
| synonyms = Dental attrition, dental erosion, dental abrasion | |||
| symptoms = [[Tooth sensitivity]], [[tooth pain]], changes in tooth appearance | |||
| complications = [[Tooth decay]], [[tooth fracture]], [[tooth loss]] | |||
| onset = Gradual | |||
| duration = Long-term | |||
| causes = [[Bruxism]], [[acid reflux]], [[dietary acids]], [[improper brushing technique]] | |||
| risks = [[Acidic diet]], [[gastroesophageal reflux disease]], [[eating disorders]] | |||
| diagnosis = [[Clinical examination]], [[dental X-rays]] | |||
| prevention = Use of [[mouthguard]], [[dietary changes]], proper [[oral hygiene]] | |||
| treatment = [[Dental restoration]], [[fluoride treatment]], [[dental bonding]] | |||
| frequency = Common | |||
}} | |||
{{Short description|Overview of tooth wear and its implications}} | {{Short description|Overview of tooth wear and its implications}} | ||
'''Tooth wear''' refers to the progressive loss of [[dental hard tissues]] due to factors other than dental caries. It is a common condition that can affect individuals of all ages and can lead to significant [[dental health]] issues if not managed appropriately. | '''Tooth wear''' refers to the progressive loss of [[dental hard tissues]] due to factors other than dental caries. It is a common condition that can affect individuals of all ages and can lead to significant [[dental health]] issues if not managed appropriately. | ||
==Types of Tooth Wear== | ==Types of Tooth Wear== | ||
Tooth wear can be classified into three main types: | Tooth wear can be classified into three main types: | ||
===Attrition=== | ===Attrition=== | ||
[[Attrition (dental)|Attrition]] is the loss of tooth structure due to tooth-to-tooth contact. It is commonly seen in individuals with [[bruxism]], a condition characterized by grinding or clenching of the teeth, often during sleep. | [[Attrition (dental)|Attrition]] is the loss of tooth structure due to tooth-to-tooth contact. It is commonly seen in individuals with [[bruxism]], a condition characterized by grinding or clenching of the teeth, often during sleep. | ||
===Abrasion=== | ===Abrasion=== | ||
[[Abrasion (dental)|Abrasion]] occurs when there is mechanical wear of the teeth due to external factors. Common causes include aggressive tooth brushing, use of abrasive toothpaste, and habits such as biting on hard objects. | [[Abrasion (dental)|Abrasion]] occurs when there is mechanical wear of the teeth due to external factors. Common causes include aggressive tooth brushing, use of abrasive toothpaste, and habits such as biting on hard objects. | ||
===Erosion=== | ===Erosion=== | ||
[[Erosion (dental)|Erosion]] is the chemical dissolution of tooth structure by acids not derived from bacteria. It can be caused by dietary acids, such as those found in citrus fruits and soft drinks, or by gastric acids in conditions like [[gastroesophageal reflux disease]] (GERD) and [[bulimia nervosa]]. | [[Erosion (dental)|Erosion]] is the chemical dissolution of tooth structure by acids not derived from bacteria. It can be caused by dietary acids, such as those found in citrus fruits and soft drinks, or by gastric acids in conditions like [[gastroesophageal reflux disease]] (GERD) and [[bulimia nervosa]]. | ||
==Causes of Tooth Wear== | ==Causes of Tooth Wear== | ||
Tooth wear can result from a combination of factors, including: | Tooth wear can result from a combination of factors, including: | ||
* '''Dietary habits''': Frequent consumption of acidic foods and beverages can lead to erosion. | * '''Dietary habits''': Frequent consumption of acidic foods and beverages can lead to erosion. | ||
* '''Oral hygiene practices''': Improper brushing techniques can cause abrasion. | * '''Oral hygiene practices''': Improper brushing techniques can cause abrasion. | ||
* '''Medical conditions''': Conditions such as GERD and bulimia can contribute to erosion. | * '''Medical conditions''': Conditions such as GERD and bulimia can contribute to erosion. | ||
* '''Parafunctional habits''': Bruxism and other habits can lead to attrition. | * '''Parafunctional habits''': Bruxism and other habits can lead to attrition. | ||
==Clinical Implications== | ==Clinical Implications== | ||
Tooth wear can lead to several clinical issues, including: | Tooth wear can lead to several clinical issues, including: | ||
* '''Sensitivity''': Exposed dentin can cause increased sensitivity to temperature and touch. | * '''Sensitivity''': Exposed dentin can cause increased sensitivity to temperature and touch. | ||
* '''Aesthetic concerns''': Loss of enamel can affect the appearance of teeth. | * '''Aesthetic concerns''': Loss of enamel can affect the appearance of teeth. | ||
* '''Functional problems''': Severe wear can alter the bite and lead to [[temporomandibular joint disorder]] (TMJ). | * '''Functional problems''': Severe wear can alter the bite and lead to [[temporomandibular joint disorder]] (TMJ). | ||
==Management and Prevention== | ==Management and Prevention== | ||
Management of tooth wear involves identifying and addressing the underlying causes. Preventive measures include: | Management of tooth wear involves identifying and addressing the underlying causes. Preventive measures include: | ||
* '''Dietary modifications''': Reducing intake of acidic foods and drinks. | * '''Dietary modifications''': Reducing intake of acidic foods and drinks. | ||
* '''Improved oral hygiene''': Using a soft-bristled toothbrush and non-abrasive toothpaste. | * '''Improved oral hygiene''': Using a soft-bristled toothbrush and non-abrasive toothpaste. | ||
* '''Use of dental appliances''': Night guards can help manage bruxism. | * '''Use of dental appliances''': Night guards can help manage bruxism. | ||
* '''Regular dental check-ups''': Early detection and intervention can prevent progression. | * '''Regular dental check-ups''': Early detection and intervention can prevent progression. | ||
==See also== | |||
== | |||
* [[Dental caries]] | * [[Dental caries]] | ||
* [[Bruxism]] | * [[Bruxism]] | ||
* [[Gastroesophageal reflux disease]] | * [[Gastroesophageal reflux disease]] | ||
* [[Bulimia nervosa]] | * [[Bulimia nervosa]] | ||
[[Category:Dentistry]] | [[Category:Dentistry]] | ||
[[Category:Oral health]] | [[Category:Oral health]] | ||
Latest revision as of 19:10, 8 April 2025

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
| Tooth wear | |
|---|---|
| Synonyms | Dental attrition, dental erosion, dental abrasion |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Tooth sensitivity, tooth pain, changes in tooth appearance |
| Complications | Tooth decay, tooth fracture, tooth loss |
| Onset | Gradual |
| Duration | Long-term |
| Types | N/A |
| Causes | Bruxism, acid reflux, dietary acids, improper brushing technique |
| Risks | Acidic diet, gastroesophageal reflux disease, eating disorders |
| Diagnosis | Clinical examination, dental X-rays |
| Differential diagnosis | N/A |
| Prevention | Use of mouthguard, dietary changes, proper oral hygiene |
| Treatment | Dental restoration, fluoride treatment, dental bonding |
| Medication | N/A |
| Prognosis | N/A |
| Frequency | Common |
| Deaths | N/A |
Overview of tooth wear and its implications
Tooth wear refers to the progressive loss of dental hard tissues due to factors other than dental caries. It is a common condition that can affect individuals of all ages and can lead to significant dental health issues if not managed appropriately.
Types of Tooth Wear[edit]
Tooth wear can be classified into three main types:
Attrition[edit]
Attrition is the loss of tooth structure due to tooth-to-tooth contact. It is commonly seen in individuals with bruxism, a condition characterized by grinding or clenching of the teeth, often during sleep.
Abrasion[edit]
Abrasion occurs when there is mechanical wear of the teeth due to external factors. Common causes include aggressive tooth brushing, use of abrasive toothpaste, and habits such as biting on hard objects.
Erosion[edit]
Erosion is the chemical dissolution of tooth structure by acids not derived from bacteria. It can be caused by dietary acids, such as those found in citrus fruits and soft drinks, or by gastric acids in conditions like gastroesophageal reflux disease (GERD) and bulimia nervosa.
Causes of Tooth Wear[edit]
Tooth wear can result from a combination of factors, including:
- Dietary habits: Frequent consumption of acidic foods and beverages can lead to erosion.
- Oral hygiene practices: Improper brushing techniques can cause abrasion.
- Medical conditions: Conditions such as GERD and bulimia can contribute to erosion.
- Parafunctional habits: Bruxism and other habits can lead to attrition.
Clinical Implications[edit]
Tooth wear can lead to several clinical issues, including:
- Sensitivity: Exposed dentin can cause increased sensitivity to temperature and touch.
- Aesthetic concerns: Loss of enamel can affect the appearance of teeth.
- Functional problems: Severe wear can alter the bite and lead to temporomandibular joint disorder (TMJ).
Management and Prevention[edit]
Management of tooth wear involves identifying and addressing the underlying causes. Preventive measures include:
- Dietary modifications: Reducing intake of acidic foods and drinks.
- Improved oral hygiene: Using a soft-bristled toothbrush and non-abrasive toothpaste.
- Use of dental appliances: Night guards can help manage bruxism.
- Regular dental check-ups: Early detection and intervention can prevent progression.