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Tooth wear is a common condition that can affect comfort, function, and appearance.

It develops gradually and is often a combination of grinding, erosion from acidic substances, and natural ageing. Treatment depends on the severity of wear, bite forces, and individual risk factors.

Not all worn teeth require extensive treatment, and in many cases, a staged or conservative approach is most appropriate.

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FAQ

FREQUENTLY ASKED QUESTIONS

What are some of the causes of tooth wear?

Tooth wear may be caused by:

  • Grinding or clenching.
  • Acid erosion from diet or stomach acid reflux.
  • Normal ageing.
  • A combination of factors.

Identifying the cause is an important part of planning effective treatment.

Do worn teeth always need crowns?

No. Many cases can be managed with composite and/or onlays. Crowns are used when they are genuinely the best long-term option.

Is tooth wear just cosmetic?

Not necessarily. It can affect comfort, fracture risk, and the long-term health of teeth and restorations.

How long does it take?

It depends on severity and whether we stage treatment. Many cases are planned in phases to keep it predictable and conservative.

What affects the choice of treatment?

Treatment selection depends on:

  • Severity and pattern of wear.
  • Bite forces and jaw function.
  • Number of missing teeth.
  • Aesthetic expectations.
  • Long-term risk and maintenance.

There is rarely a single “right” answer.

Is early prevention possible?

In early cases, active treatment may not be required. This may involve:

  • Monitoring wear over time using 3-d scanning for accurate comparison.
  • Dietary advice.
  • Managing grinding or clenching.
  • Protective night guards.

The aim is to slow progression and protect remaining tooth structure.

What is a composite restoration and when is it used?

A composite can be used to rebuild worn tooth surfaces conservatively. Best suited for:

  • Early to moderate wear.
  • Patients want minimally invasive treatment.
  • Staged or reversible care.

Limitations:

  • Subject to wear and chipping.
  • Requires maintenance over time.

What are some advanced and complex treatment options?

Multidisciplinary restorative care

In more advanced cases, treatment may involve:

  • Bite reconstruction.
  • Crown lengthening or periodontal input.
  • Coordination of multiple restorations.

These cases require careful planning and staged treatment.

Implant-supported solutions

Where teeth are missing or cannot be predictably restored, implants may be considered. Options include:

  • Single implant crowns.
  • Implant-supported bridges.
  • Implant-retained dentures.

Implants are highly predictable but still require maintenance and review.

Will I need a night guard?

Often, yes — particularly if grinding/clenching is a factor. It’s one of the best ways to protect both teeth and restorations.

Intermediate treatment options

Crowns

Crowns are used where teeth are significantly worn or weakened. Best suited for:

  • Advanced tooth wear
  • Teeth with large restorations
  • Situations requiring greater protection
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Intermediate treatment options

Non-implant tooth replacement

In patients with worn teeth and missing teeth, non-implant solutions may include:

  • Bridges.
  • Chrome cobalt dentures.
  • Combination crown and denture solutions.

These can restore function predictably without surgical treatment.

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Planning and responsibility of care

Managing worn teeth often involves decisions that affect comfort, appearance, and long-term dental health.

Your treating dentist will assess your teeth and explain the available options clearly. Where treatment involves significant tooth wear, changes to the bite, or complex planning, Dr Kevin Gilmore will be involved in overseeing the planning to ensure treatment is coordinated, appropriate, and designed to last.

Patient takeaway

Worn teeth can be managed in many ways. The best outcomes come from understanding the problem, choosing the right level of treatment, and planning care with the long term in mind.

TREATMENT TESTIMONIALS

Our Smile Transformations

We’re proud to be a trusted part of our patients’ oral health journeys. Explore their testimonials to see how we’re creating positive dental experiences – one smile at a time.

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I required some extensive dental work, which I had been catastrophising in my head for some time now. Having finally plucked up the courage, I consider myself extremely fortunate to have been cared for so professionally & competently by Lorna…

Colin K

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I had a great experience with Lorna. She was very competent, gentle and took the time to explain everything clearly. I’d highly recommend Lorna to anyone who feels anxious about visiting the dentist!

Amy T

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I’ve been a patient at Harcourt Dental Clinic for about 5 years now, and I couldn’t be happier with the service I’ve received. From the friendly and welcoming staff to the professional and skilled dentists, every visit has been a…

Adrian V

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Martina is an excellent hygienist, professional, kind, and thorough. She made me feel completely at ease and did a fantastic job with my cleaning. I highly recommend her!

Ana R

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I would highly recommend this dental practice. They are very professional in every sense. Special shout-out for Cianna & Kevin, two highly skilled dentists.

Brian R

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I strongly recommend this dental practice. The reception staff are always friendly and polite. Dr Lorna Mahon and her assistant have been excellent in treating a quite difficult dental issue with great care and professionalism.

Matthew V

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Contact us today!

If you have a broken tooth or a cracked tooth, contact us for an assessment and a clear plan.

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