Tooth wear can happen for a number of reasons, and often more than one factor is involved.
Attrition
Attrition is caused by tooth-to-tooth contact, often through grinding or clenching (bruxism). This can flatten the biting surfaces and shorten the teeth over time.
Abrasion
Abrasion is wear caused by external factors, such as brushing too aggressively or using a hard-bristled toothbrush. This can wear away enamel and expose the root surfaces.
Erosion
Erosion occurs when acids weaken and dissolve the enamel. This may be linked to acidic foods and drinks, acid reflux, or medical conditions affecting the stomach.
Identifying the underlying cause is key to successful treatment and preventing the wear from returning.
Damaged or weakened teeth can be reinforced with modern restorative treatments, helping to protect them from further wear.
Treatment can reduce sensitivity and discomfort caused by exposed dentine or cracks.
Worn teeth can often appear shorter, flatter or uneven. Restorative treatment can rebuild shape and symmetry.
Addressing tooth wear early can help prevent more extensive damage and reduce the need for complex treatment later.
Treatment will depend on the cause and severity of the wear, but may include:
Our goal is always to preserve as much natural tooth structure as possible while restoring strength, function and aesthetics.

Some level of wear is expected over time. However, excessive or rapid wear should always be assessed to prevent long-term complications.
Lost enamel cannot grow back, but the damage can often be repaired and protected with restorative treatment.
Not always. Many patients only notice it once sensitivity develops or changes in appearance become more obvious.
A clinical examination can help identify whether grinding, brushing habits, acid erosion, or a combination of factors is responsible.