Implant + Perio Clinic
Why treat tooth wear?

Why treat tooth wear?

  • Prevent further damage and protect the remaining tooth structure
  • Reduce tooth sensitivity and discomfort
  • Restore worn, chipped or shortened teeth
  • Improve bite function and chewing efficiency
  • Enhance the appearance of your smile
  • Avoid more complex treatment in the future
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What causes tooth wear?

What causes tooth wear?

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.

Are your teeth worn down and sensitive? Book a consultation today

What are the benefits of treating tooth wear?

1

Restore strength

Damaged or weakened teeth can be reinforced with modern restorative treatments, helping to protect them from further wear.

2

Improve comfort

Treatment can reduce sensitivity and discomfort caused by exposed dentine or cracks.

3

Enhance appearance

Worn teeth can often appear shorter, flatter or uneven. Restorative treatment can rebuild shape and symmetry.

4

Protect long-term oral health

Addressing tooth wear early can help prevent more extensive damage and reduce the need for complex treatment later.

How do we treat tooth wear?

Treatment will depend on the cause and severity of the wear, but may include:

  • Composite bonding to rebuild worn edges
  • Dental crowns for stronger protection where wear is more advanced
  • Occlusal splints (night guards) to protect against grinding
  • Bite adjustment to improve function and reduce excessive pressure
  • Preventive advice on brushing techniques and dietary habits

Our goal is always to preserve as much natural tooth structure as possible while restoring strength, function and aesthetics.

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Frequently Asked Questions

Is tooth wear normal?

Some level of wear is expected over time. However, excessive or rapid wear should always be assessed to prevent long-term complications.

Can tooth wear be reversed?

Lost enamel cannot grow back, but the damage can often be repaired and protected with restorative treatment.

Is tooth wear painful?

Not always. Many patients only notice it once sensitivity develops or changes in appearance become more obvious.

How do I know what’s causing my tooth wear?

A clinical examination can help identify whether grinding, brushing habits, acid erosion, or a combination of factors is responsible.

Dr. Pedram Negahban

Dr. Pedram Negahban

Principal Dentist

DDS (Germany), DipImpDent RCS (Eng.), AssocFCGDent

GDC: 82959

Dr Pedram Negahban is a German-trained dentist and Principal Dentist at Implant + Perio Clinic in Marylebone, London. A graduate of RWTH Aachen University, he has more than 20 years of clinical experience and has been practising implant dentistry since 2005, with a particular focus on complex implant treatment planning and restorative dentistry.

Pedram has undertaken extensive postgraduate training in implant dentistry and was awarded the Diploma in Implant Dentistry by the Royal College of Surgeons of England. He is also an Associate Fellow of the College of General Dentistry (AssocFCGDent).

His clinical work ranges from single and multiple dental implants to immediate implant placement and complex full-mouth and full-arch rehabilitation. His experience includes bone grafting, guided bone regeneration, sinus augmentation and fixed implant-supported restorations, as well as the management of patients with more advanced implant and restorative needs.

Pedram was formerly a tutor for the FGDP Diploma in Implant Dentistry at the Royal College of Surgeons of England and has been involved in implant education and mentoring, supporting dental colleagues with treatment planning and implant cases.

His approach combines surgical and restorative planning, with particular emphasis on careful diagnosis, long-term predictability and treatment that is maintainable for the patient. He believes that successful implant dentistry begins with thoughtful treatment planning and selecting the most appropriate treatment for each individual patient.

Patients often come to Pedram when they are facing important decisions about their oral health, including failing or missing teeth and more complex treatment needs. He takes time to explain the available options clearly, helping patients understand their treatment and make informed decisions without feeling rushed.

At Implant + Perio Clinic, Pedram works alongside a multidisciplinary team providing implant, periodontal and restorative care for both self-referred patients and patients referred by other dentists.

He is a member of the British Dental Association (BDA), the International Team for Implantology (ITI) and the College of General Dentistry (CGDent), where he holds the grade of Associate Fellow.

Pedram is fluent in English, German and Persian (Farsi).

Dr. Federico Tinti

Dr. Federico Tinti

Specialist Periodontist

DDS (Italy), MSc Periodontology

GDC: 78429

Dr Federico Tinti is a Specialist Periodontist at Implant & Perio Clinic in Marylebone, London, near Harley Street.

Originally from Italy, Dr Tinti qualified as a dentist in 1998 and has dedicated more than 25 years of his professional career to the prevention, diagnosis and treatment of periodontal (gum) disease. Following graduation, he pursued postgraduate training in periodontology in both New York and London before completing a Master of Science in Periodontology. He later joined the GDC Specialist Register in Periodontology and has since focused his clinical practice on helping patients preserve their teeth and maintain long-term oral health.

Patients are often referred to Dr Tinti when they are experiencing bleeding gums, gum recession, loose teeth or advanced periodontal disease. Others seek his opinion because they have been told they may lose teeth and want to understand whether there are alternatives.

For Dr Tinti, periodontics is about much more than treating gums. It is about preserving the biological foundations that support every tooth, every restoration and every smile. He believes that healthy gums are the foundation of successful dentistry and that preserving natural teeth whenever possible should always be a priority.

One of the aspects of periodontology he finds most rewarding is that treatment can often help patients keep their teeth healthy and functional for many years longer than they expected. Through careful diagnosis, patient education and long-term maintenance, many conditions that were once considered inevitable can be stabilised and successfully managed.

Patients frequently comment on his calm and thoughtful approach. He believes that understanding why a condition has developed is just as important as treating it. Taking the time to explain findings, answer questions and involve patients in decisions about their care is an important part of his philosophy.

Throughout his career, Dr Tinti has remained committed to continuing education and evidence-based practice. He believes that successful periodontal care is built on a combination of scientific knowledge, clinical experience and a long-term partnership between clinician and patient.

At Implant & Perio Clinic, he works closely with Dr Sanaz Tehrani and Dr Pedram Negahban as part of a multidisciplinary team, helping patients achieve and maintain healthy foundations for both natural teeth and dental implants.

What continues to motivate Dr Tinti is helping patients preserve their teeth, comfort and confidence for as long as possible. He believes that some of the most valuable dentistry is not replacing teeth, but preventing the need for replacement in the first place.

His philosophy is simple:

Healthy gums are not separate from good dentistry. They are the foundation of it.

Dr. Sanaz Tehrani

Dr. Sanaz Tehrani

Principal Dentist

DDS (Germany)

GDC: 84955

Dr Sanaz Tehrani is a Principal Dentist at Implant & Perio Clinic in Marylebone, London, near Harley Street, where she works alongside her husband, Dr Pedram Negahban.

Born in Iran and educated in Germany, Dr Tehrani graduated as a dentist from RWTH Aachen University in 2004. Fluent in English, German and Persian (Farsi), she has been caring for patients for more than 22 years and has continued to pursue postgraduate education throughout her career.

Over the years, she has developed particular interests in Invisalign, aesthetic dentistry, tooth whitening and minimally invasive treatments. She enjoys helping patients improve their smiles in ways that feel natural, appropriate and tailored to the individual, rather than following a one-size-fits-all approach.

Despite advances in dentistry, one belief has remained constant throughout her career: good dentistry begins with listening.

Many patients arrive feeling anxious, embarrassed or worried about being judged. Others have not seen a dentist for years and are unsure what to expect. Creating a calm and welcoming environment where patients feel comfortable asking questions is something she considers just as important as the dentistry itself.

Whether a patient is attending for a routine examination, considering Invisalign, composite bonding, whitening or more complex treatment, her aim is always the same: to help people understand their options and make decisions they feel comfortable with.

Dr Tehrani particularly enjoys building long-term relationships with patients and their families. One of the greatest privileges of practising dentistry for more than two decades has been caring for patients over many years and, increasingly, welcoming their children and families into the practice as well.

Together with Dr Pedram Negahban, she has helped shape Implant & Perio Clinic around a simple belief: that patients should never feel rushed, judged or pressured. Instead, they should feel listened to, respected and cared for.

What continues to motivate her after more than 22 years in dentistry is not only the clinical side of the profession, but the people. Every patient has a story. Taking the time to understand that story has always been one of the most rewarding parts of dentistry.

Her philosophy remains simple:

Treat people the way you would hope a member of your own family would be treated.

Hayley Azopardi

Hayley Azopardi

Dental Therapist and Dental Hygienist

GDC: 5922

Hayley is a dedicated dental hygienist and therapist with over 19 years of experience in the dental field. She holds a Diploma in Dental Hygiene and a Diploma in Dental Therapy from the Royal College of Surgeons of England.

Hayley is passionate about providing patients with a comfortable and supportive environment, helping them achieve optimal oral health without judgment.

In her free time, Hayley enjoys gardening, reading, exploring natural health practices, walking, following world affairs, and keeping up with Formula 1.

Kerrie Barker

Kerrie Barker

Dental Hygienist

GDC: 5133

Kerrie qualified as a dental nurse from King’s College, London, in 1995. She remained at King’s College to undergo a qualification in Dental Hygiene, graduating in 1996 with the top award for pre-clinical exam.

Kerrie joined the practice in 2003 and is an integral part of the team. She loves talking to and getting to know her patients, as well as helping them to maintain their oral health.

Outside of dentistry, Kerrie is interested in psychotherapy, and achieved her Master’s degree in Psychotherapy in 2014. She also enjoys keeping fit with pilates and bike riding, watching documentaries, socialising and eating out with friends, and talking with her family back in Canada.

Jane Dyas

Jane Dyas

Dental Hygienist

GDC: 2403

Jane qualified as a dental nurse in 1980, and went on to qualify as a dental hygienist from the Royal Dental Hospital, London, in 1982. She started working at 57 Portland Place in January 2007.

Jane finds working in a perio practice very rewarding, as she is not just cleaning teeth, but treating patients with varying degrees of gum disease. She enjoys being able to teach them how to look after their mouths and save their teeth.

Jane’s patients mean so much to her, and she has treated many loyal patients for over 30 years! She strives to keep up-to-date with advances in dentistry and improves her knowledge by attending conferences in the UK and across Europe.

Outside of work, Jane loves to travel, and enjoys spending time in her home in Spain. She also loves interior design and property renovation, and has recently finished renovating a property in Spain. Her other interests include painting, gardening and keeping fit.

Diane Telot

Diane Telot

Dental Nurse

GDC: 133903

Diane is a dedicated Dental Nurse with many years of experience working in dental practices. She gained her SAAD Conscious Sedation qualification in 1996 at St Bartholomew’s Hospital.

Diane’s favourite part of her role is interacting with patients and continually learning new aspects of the job, ensuring every patient feels comfortable and well cared for. She brings a wealth of experience to the team, having spent over 11 years across her previous two practices before joining us.

Outside of work, Diane enjoys cooking, interior design, and walking, which help her relax and stay inspired.

Samaneh Sadri

Samaneh Sadri

Trainee Dental Nurse

Samaneh Sadri is an enthusiastic Trainee Dental Nurse. Originally studying IT in Iran and graduating in 1999, she is now dedicated to pursuing her new career path in dental care. As a trainee, she is working diligently to gain the experience necessary for her professional registration.

Samaneh’s favourite part of her role is learning new clinical skills and helping patients, ensuring everyone who visits the practice feels supported and well-cared for. She is passionate about expanding her clinical knowledge and providing high-quality assistance to the rest of the dental team.

Outside of work, Samaneh enjoys baking, reading, and meditation . She also enjoys regular exercise, which helps her stay balanced and active.

Martin Goodson

Martin Goodson

Practice Manager

Martin holds a degree in Philosophy and has completed CIPD Training Skills and Counselling Skills with Westminster Pastoral Foundation. He has been part of the practice team since 2011.

Martin loves interacting with patients, offering support for those who are feeling anxious or needing a bit more help. He is a large part of the day-to-day running of the practice, and is always on hand to answer questions or help in any way he can.

Outside of dentistry, Martin teaches meditation and mindfulness as well as Buddhist philosophy at a temple in London. He also supplies articles and podcasts to The Zen Gateway, a website he co-founded on meditation, mindfulness and philosophy.

Martin enjoys reading, listening to podcasts, walking, going to the cinema, and weight training.

Louise Scott-Hoffmann

Louise Scott-Hoffmann

Finance Manager

Louise joined the practice as Finance Manager in 2013. She loves working with numbers and is an integral part of the day-to-day running of the practice. She also enjoys being part of a great team.

Outside of work, Louise enjoys reading and watching rugby. She also has fun raising her teenage daughters!

Pamela Wilson

Pamela Wilson

Receptionist

Pamela joined the practice team in May 2023 and is the cheerful face on reception, welcoming our patients to the clinic with a smile. She loves working as part of a friendly and professional team to ensure the smooth running of the practice, and enjoys seeing the other side of dentistry, having previously only experienced it as a patient.

Outside of work, Pamela loves anything to do with the arts, particularly theatre and opera. She is a long term practitioner of iyengar yoga and a keen walker, both in the town and countryside.