Dental Attrition

Dental Attrition – Symptoms, Causes, Treatment


Last Modified: October 31, 2023


Dental attrition is a common dental problem that can affect people of all ages. It is a condition characterized by the gradual loss of tooth structure due to mechanical forces like grinding, clenching, or friction. In this blog, we will delve into aspects of dental attrition, exploring its symptoms, causes, and evidence-based treatment options.

Symptoms of Dental Attrition

  • Tooth Sensitivity: As the protective enamel on your teeth wears away, you may experience increased sensitivity to hot, cold, sweet, or acidic foods and beverages.
  • Tooth Discoloration: The exposed dentin, which is naturally yellowish, can become more visible as enamel thins. This can lead to tooth discoloration or a yellowed appearance.
  • Chipped or Cracked Teeth: Over time, teeth weakened by attrition are more prone to chipping or cracking, especially at the edges.
  • Changes in Tooth Shape: The constant friction can lead to changes in the shape of your teeth, making them appear flattened, with rounded edges.
  • Pain and Discomfort: As attrition progresses, you may experience jaw pain, headaches, and facial muscle fatigue due to excessive grinding or clenching.

Causes of Dental Attrition

  • Bruxism: Bruxism, the medical term for teeth grinding, is a major cause of dental attrition. It often occurs during sleep and can result from stress, anxiety, or malocclusion (improper tooth alignment).
  • Misaligned Teeth: When your teeth are not correctly aligned, it can create abnormal contact points, leading to uneven wear and tear.
  • Abrasive Diets: Consuming a diet high in abrasive foods and beverages can contribute to attrition. Chewing on ice, hard candies, or using your teeth as tools can accelerate enamel erosion.
  • Inadequate Oral Hygiene: Neglecting your oral hygiene can allow harmful bacteria to thrive, producing acids that weaken tooth enamel, making it more susceptible to attrition.
  • Age: As you age, normal wear and tear can cause some attrition, but it becomes more problematic when combined with other risk factors.

Treatment Options

  • Mouthguards: A custom-fitted dental night guard can help protect your teeth from the effects of bruxism. It provides a barrier between your upper and lower teeth, reducing the damage caused by grinding.
  • Orthodontic Treatment: If misaligned teeth are the root cause of attrition, orthodontic procedures like braces or clear aligners can help correct the alignment, preventing further wear and tear.
  • Dental Restorations: In cases where attrition has led to structural damage, dental restorations such as fillings, dental bridges and crowns, or veneers may be necessary to restore tooth function and aesthetics.
  • Lifestyle Changes: Addressing stress and anxiety through relaxation techniques, therapy, or exercise can help reduce the frequency and intensity of bruxism.
  • Dietary Modifications: Limiting the consumption of abrasive foods and maintaining a balanced, tooth-friendly diet can prevent further erosion.
  • Good Oral Hygiene: Regular brushing, flossing, and dental check-ups are essential for maintaining strong enamel and preventing dental attrition.


Understanding the symptoms, causes, and treatment options for dental attrition is crucial for maintaining a healthy and functional smile. If you suspect you may be experiencing dental attrition, go to cosmetic dentistry or speak with a dental professional to determine the best course of action to protect your teeth and oral health. By taking a scientific approach to treatment, you can ensure the longevity of your smile and overall well-being.

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