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Worn Teeth Los Altos, CA

At first glance, worn teeth may be diagnosed as purely a cosmetic issue. However, with more in-depth analysis, worn teeth may be an indication of an advanced dental issue, such as TMD, occlusal dysfunction, or tooth grinding.

Types of Tooth Wear:

Attrition: This type of tooth wear occurs when the top and bottom biting surfaces of the teeth grind against each other. This may occur in patients who grind or clench their teeth, whether during sleep (sleep bruxism) or during the day (awake bruxism).

Abrasion: When there is repeated friction against the tooth, it can lead to abrasion. The most common form of this is harsh brushing and using the teeth as tools.

Erosion: When acids make contact with the tooth enamel, it can lead to erosion. Acids may result from citrus fruits, stomach acids from acid reflux, or vomiting.


Minimal tooth wear may occur naturally as we age; however, excessive tooth wear should be examined and addressed just in case. Diagnosing tooth wear requires a comprehensive examination of the masticatory system ( teeth, muscles, joints, and jaw).

An in-depth analysis of the primary factors that may contribute to tooth wear can help create a more dynamic treatment plan. Discovering the underlying cause of tooth wear can help aid in its prevention and overall treatment. Tooth wear is a pathological process so establishing the underlying causes is a key part of prevention.

Tooth wear may be caused by:

  • Teeth grinding or clenching
  • TMD/ TMJ disorder
  • Repeated dental trauma
  • Misaligned Bite

Nothing in the mouth happens independently, so when one part is affected, it can influence the entire system. When the teeth begin to break down or wear, other parts of the system may begin to compensate for the wear, which can result in other advanced issues.

Signs of worn teeth

Patients with excessive tooth wear can experience various signs and symptoms, including:

  • Short teeth
  • Discolored tooth enamel
  • Translucent teeth
  • Increased tooth sensitivity

Treatment for worn teeth in Los Altos

During the comprehensive examination, we will assess the teeth for signs of excessive wear. Like most treatments, the treatment for worn teeth is dependent on its root cause. Not only is it necessary to repair the lost tooth structures, but it is also important to restore proper function and form to the bite.

The goal of treatment is based on two foundations:

    • Help our patients better understand their dental health and provide them with a comprehensive, personalized solution.
      To address tooth wear before it results in more complicated dental issues. Taking preventive measures is one of the best ways to maintain your dental health.
    • Treatment may require restorative treatments, such as tooth bonding, dental crown, dental fillings, inlays, or onlays, to repair the enamel. Other forms of treatment may require splint therapy or a nightguard. Both options prevent the biting surfaces of the teeth from coming together, all while reducing the likelihood of future damage.

In some cases, patients may benefit from orthodontics. Treating worn teeth may help restore balance and function to your masticatory system.

Worn Teeth FAQs

How can you ‘build up’ my worn-down front teeth?

Worn down front teeth can be embarrassing and lead to social problems. Dr. Schweifler may recommend dental crowns if the damage to the front teeth is severe and they will also require protection from further damage. If the teeth are not severely worn down, a simple dental bonding treatment will work.

How can I protect my teeth after they have been fixed?

Dr. Schweifler may recommend a mouthguard that should be worn at night if your worn-down teeth were caused by teeth grinding. This is to prevent further damage and protect the treated teeth. He also may suggest a change in diet to avoid foods with acid, orthodontic treatment to straighten out the teeth, a new type of toothbrush, or to stop using teeth as a tool. These suggestions will help the dental treatment last longer and protect the teeth from being worn down again.

Do I have to fix my worn-down teeth?

Worn down teeth can lead to further problems so we highly suggest having them corrected. When the enamel on the teeth has worn down or has not properly developed, it will cause the teeth to become sensitive or see-through. Worn down teeth can also make it harder to chew which will lead to muscle strain, headaches, and a sore jaw. Worn down teeth can also be yellow teeth which are not aesthetically pleasing.