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With proper care, your teeth can last a lifetime.
But some amount of wear as we age is normal. By “wear,” we mean loss of tooth structure. Wear starts with loss of the hard, translucent enamel that forms the outer covering of teeth, and might, in more serious cases, progress to the softer inner tooth structure known as dentin.
Enamel is actually the human body's hardest substance. It is highly mineralized and non-living, in contrast to bone and dentin which are living tissues. Enamel is highly resistant to wear and chemical attack, as it would have to be given what your teeth do every day: bite, chew, and come in contact with acidic foods and drinks.
Still, it is possible for tooth enamel to wear down for various reasons. Your body has ways of compensating for minor wear. But when tooth wear becomes more significant, intervention may be necessary to keep your bite functioning properly and protect your teeth.
Tooth wear can result from one or more of these processes:
This is caused by the interaction of teeth and other materials rubbing or scraping against them. The most common source of abrasion is traumatic toothbrushing, meaning that you are using a toothbrush that's too hard or applying too much force when you brush. This can affect the root surfaces of your teeth just below the gum line or the enamel above the gum line. Other causes of abrasion can include improper use of toothpicks and dental floss. Some dental appliances such as partial dentures or retainers that are frequently taken in and out of the mouth can also abrade teeth. Abrasion can also result from a diet loaded with abrasive foods like sunflower seeds and nuts or habits such as nail-biting and pen-chewing.
In order to treat your worn teeth, the cause of the wear must be determined during a simple oral examination at the dental office. Once the cause has been identified, the stresses on your teeth can be reduced if need be. For example, you may need instruction on gentle, effective tooth brushing techniques; or some changes to your diet. If you have a clenching or grinding habit, a mouthguard can be custom-made for you that will protect your teeth during sleep or periods of high stress.
Lost tooth structure sometimes needs to be replaced so your bite functions properly, and your teeth look great once again. Depending on the situation, this can be done with bonding, veneers, or crowns. Fortunately, modern dentistry can restore the normal shape, appearance and function of worn teeth — beautifully and successfully!
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