For UK dental professionals, recognising and managing tooth wear early is critical not only for patient comfort and aesthetics but also for long-term oral health outcomes.

Recent national data shows that 71% of dentate adults in the UK have some degree of tooth wear, with 22% experiencing moderate wear and around 5% severe wear affecting significant portions of the tooth surface (UK Adult Oral Health Survey 2023).

This means that most dentists will regularly encounter patients presenting with tooth erosion, dental abrasion, attrition erosion or worn enamel.

Why tooth wear matters for your patients

Tooth wear is multifactorial and often progressive. It can result from a combination of:

  • Acid erosion enamel loss from dietary acids, reflux or lifestyle factors
  • Attrition erosion from bruxism or parafunctional habits
  • Dental abrasion from mechanical forces such as aggressive brushing
  • Combined biological and mechanical stresses on tooth surfaces

For patients, untreated tooth wear can lead to:

  • Tooth sensitivity and discomfort
  • Compromised aesthetics and shortened clinical crowns
  • Reduced occlusal stability
  • Increased need for complex teeth restoration procedures later in life

Early intervention and minimally invasive repair strategies are therefore essential.

Diagnosing tooth wear in practice

Early recognition is key. Clinicians should look for common indicators such as:

  • Smooth, flattened occlusal surfaces
  • Cupping of dentine on posterior teeth
  • Thinning or translucency of incisal edges
  • Progressive worn enamel and loss of vertical dimension
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