
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.
Back to Worn Teeth & Bite RehabilitationTooth wear may be caused by:
Identifying the cause is an important part of planning effective treatment.
No. Many cases can be managed with composite and/or onlays. Crowns are used when they are genuinely the best long-term option.
Not necessarily. It can affect comfort, fracture risk, and the long-term health of teeth and restorations.
It depends on severity and whether we stage treatment. Many cases are planned in phases to keep it predictable and conservative.
Treatment selection depends on:
There is rarely a single “right” answer.
In early cases, active treatment may not be required. This may involve:
The aim is to slow progression and protect remaining tooth structure.
A composite can be used to rebuild worn tooth surfaces conservatively. Best suited for:
Limitations:
Multidisciplinary restorative care
In more advanced cases, treatment may involve:
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:
Implants are highly predictable but still require maintenance and review.
Often, yes — particularly if grinding/clenching is a factor. It’s one of the best ways to protect both teeth and restorations.
Crowns are used where teeth are significantly worn or weakened. Best suited for:
In patients with worn teeth and missing teeth, non-implant solutions may include:
These can restore function predictably without surgical treatment.
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.
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.
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