Worn teeth are a common problem in the UK, especially for older patient and are often caused by the lack of harmony between your bite and the muscles that control it.
In many cases, those suffering from worn teeth can feel unattractive and can cause impactful insecurities since worn teeth can give an aged facial appearance.
Whilst it’s natural for teeth to wear as you get older when teeth become shorter and darker, it’s more of a cause for concern.
This is not an oral issue to be overly worried about, as here at The Perfect Smile we can treat and prevent this issue easily once the cause has been identified.
Symptoms and causes of worn teeth
Worn teeth are when the outer surfaces of the teeth (enamel and/or dentine) are lost due to the wear and tear that teeth undergo.
- Chipped and shorter teeth
- Lots of present wear
- Tooth sensitivity
- Teeth appear more translucent
However, there are certain factors that can exacerbate this irreversible loss leading to increased reduction of tooth substance.
The loss of tooth substance (enamel and dentine) may be as a result of mechanical factors such as an unbalanced bite, teeth worn down from grinding (bruxism), jaw problems or lack of back teeth and hence increased chewing forces on the front teeth.
Alternatively, it may be caused by chemical factors such as acid damage with acidic foods and drink.
In most cases, there are usually both mechanical and chemical factors present which can cause many further dental problems.
Types of tooth wear
- Attrition: This is when tooth wear occurs due to some mechanical interference causing an incorrect unstable tooth-to-tooth contact. The two teeth then wear each other away until the causative factor is removed. An example of attrition is when people unconsciously grind their teeth.
- Abrasion: This is when an external abrasive substance or material causes teeth to wear down. An example of this is toothpaste and toothbrushes.
- Erosion: This is when a chemical erodes the surface of teeth causing them to wear away. An example of this would be acidic foods, drink and carbonated beverages.
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How to Fix Worn Down Teeth: Treatment and Repair
The treatment involves finding the correct bite that is in harmony with the joint and the muscles.
Often a simple procedure, it can improve your appearance, oral function, health and confidence.
- Crowns: As a crown covers an entire tooth the treatment will conceal any imperfections caused by short and uneven teeth. Dental crowns are thick caps that are positioned on top of damaged teeth, which cover, preserve and protect the underlying tooth. Materials to choose from include porcelain, resin, metals and ceramic.
- Veneers: Thinner than a crown, a veneer covers the front surface of the tooth rather the whole tooth. Acting similarly to a crown, the veneer is used to conceal any imperfections without altering the existing tooth.
- Bonding: Tooth coloured composite resin that is used on one or more teeth to repair the damage – notably cheaper than other cosmetic dental procedures.
It can cause serious oral health problems
Short, worn teeth can tend to be an aesthetic issue, but as it progresses it can begin to affect your bite and even contribute to the temporomandibular joint disorder (TMD), which on its own causes headaches, neck and back pain.
Once you have worn through the outer enamel layer on your teeth, you will find yourself in the softer layer, called dentine. Those who are at this stage will find their teeth wearing down at a much quicker rate and tooth loss can be common.
What’s more, if left untreated, worn teeth can lead to further deterioration and long-term problems, including increased tooth sensitivity, infection, and difficulties with tooth restoration/fillings/ crowns in the future.
If the issue is left too long, then the patient can find future treatments more costly and complex. These issues could have otherwise been prevented.
The time taken for the treatment of worn teeth is dependent upon the actual cause of the tooth wear and your chosen treatment choice.
For this reason, it is important that the dentist carries out a systematic analysis, diagnosis, and treatment plan to treat the correct underlying cause.
Analysis and planning.
Wearing a deprogramming device (i.e. a small plastic device over the edges of the front teeth to open up the bite (night time wear for a week or so).
Recording the new bite and jaw position.
Creation of laboratory-made wax-ups (i.e. simulation of the new end result).
Testing of this new/improved bite and appearance with a trial set of teeth.
Fitting of the back porcelain (or similar) laboratory-made restorations.
Creation and fitting of acrylic (plastic) protective mouthguard for nighttime wear & protection of your teeth and restorations.
Checking and making refined bite adjustments using our computerised bite monitoring equipment (T Scan).
Maintenance with the Hygienist (every 4-6 months as advised).
We can help you to prevent worn teeth problems
An example is Derek. He had teeth that were wearing away. He was also keen to have an improvement to his appearance. We created a new smile with strong, long-lasting porcelain crowns.
If you have lost a lot of teeth or surface of your teeth through wear and tear, we recommend you opt for a definitive and comprehensive approach to treatment, as opposed to just a ‘quick fix.’
Our method involves a precise analysis of your teeth and biting patterns using innovative technology.
We would then plan to re-establish the loss of tooth tissue, which would enable us to create aesthetic and functional porcelain restorations for your teeth.
Taking this approach will ensure the best possible results in the restorative process of your smile makeover or simply restoring your teeth back to health. The steps are as follows:
Read Patient Testimonials
Creating a Harmonious Bite
Our approach is all about making harmony with every aspect of the mouth, which involves creating the perfect occlusion (harmonious bite) by managing the bite of the patient.
With the perfect occlusion, it is impossible for the patients to wear down, overload, or put extra pressure on teeth in the future, and will leave patients with a long-lasting smile they can be proud of.
How do you plan and design my treatment?
The process starts with a FREE discovery consultation where we discuss your needs and requirements with a Computerised Photographic Assessment to help you understand the possibilities.
We are at this stage able to assist you with potential options available to you. Depending on your requirements we can customize and tailor-make individual treatments plan to suit your needs and budgets.
You can opt for simple procedures to more complex involved treatments plans to produce your beautiful new smile. Our aim is to answer your questions and provide you with advantages and disadvantages.
We can also provide you with a computer-aided smile analysis and a hand-crafted Trial Preview, to gives you the opportunity to see your smile before we even touch your teeth.
We also use Bite Analysis technology to ensure a long-lasting, comfortable and a healthy final result.
Before/After Dentistry: Worn Teeth
4.7 out of 5 stars
5 out of 5 starsposted 4 weeks ago
The perfect smile is truly excellent.
I hated my tetracycline stained teeth, with 18 year old veneers which needed replacing. I get nervous how I'm going to look going to the hairdressers! so this was a huge commitment and putting my trust in someone was difficult.
From the initial consultation with Sam Jethwa and his professional, friendly, dental assistant Sophie, I could not have been more impressed. Now, I am thrilled with the end natural, result. The care taken at every stage is phenomenal. Sam is extremely skilled. Sophie is by far the best assistant I have ever encountered. The receptionists were reassuring and helpful.I will recommend them to everyone. THANK YOU.
5 out of 5 starsposted 1 week ago
I can’t recommend the Perfect Smile enough. I’ve been with the perfect smile since 2015 and it was the best decision I’ve made.The staff are friendly and professional and during COVID with the restrictions that brings they have all been brilliant.
Thank you to everyone at the perfect smile.
OUR TRANSFORMATION GALLERY OF PATIENTS TREATED WITH SHORT, WORN OR FRACTURED TEETH
Assess Your Smile
Take part in our quiz to find out how happy you really are with your smile.
Answer a few simple questions and you can begin your journey on possibly having veneers.
Whiter brighter teeth
Veneers are thin, ceramic shells designed to give you a natural smile. Ultrathin, Durathin and Lumineers are just a few of the brands we provide. Normally achieved in two appointments.
Composite / Immediate Veneers
Composite veneers cost less than other veneers and require little or no tooth preparation at all. Have your veneers fitted in as little as one appointment.
Contact us for any questions, requests and further information; or to arrange a FREE Initial Consultation.
Our free no obligation Initial Consultation will be with our dentist and/or our Treatment Coordinators. The suitability of options discussed will ultimately be dependent upon your clinical assessment with a dentist at the practice.