Dr. Michael Handler

Worn Teeth: What Causes It and How to Fix It

Worn Teeth

Why Are My Teeth Worn Down? What Can I Do?

Teeth wear down for a few main reasons, and often, more than one is at play. Here’s a breakdown of why it happens and what you can do about it:

Why Your Teeth May Be Worn Down

  • Bruxism (Teeth Grinding or Clenching):
    Often happens during sleep or times of stress. Causes flat biting surfaces, chipped edges, or notches near the gumline.
  • Erosion from Acid:
    Comes from acidic foods/drinks (soda, citrus, vinegar) or acid reflux (GERD). Makes enamel thinner, more yellow, and more sensitive.
  • Abrasion from Brushing or Habits:
    Brushing too hard or using a stiff-bristled brush. Biting nails, chewing pens, or using teeth as “tools.”
  • Attrition from Aging and Normal Chewing:
    Over decades, enamel naturally wears. Accelerated by bite misalignment.
  • Dental Conditions:
    Enamel defects, dry mouth, or misaligned teeth can make wear worse.

What You Can Do

See a Dentist First! They can diagnose the cause, check your bite, and measure wear patterns to prevent more damage.

At Home & Lifestyle Changes

  • If grinding/clenching → Wear a custom night guard or splint to protect teeth.
  • If acid erosion → Limit acidic foods/drinks, rinse with water after consuming them, and manage reflux with your doctor.
  • If brushing abrasion → Use a soft-bristled brush and gentle pressure; switch to a toothpaste designed for enamel protection.
  • Reduce harmful habits → Stop chewing ice, pens, or fingernails.

Professional Dental Treatments

  • Composite bonding or veneers to restore shape and protect worn surfaces.
  • Bite adjustments or orthodontics if misalignment is causing uneven wear.
  • Fluoride treatments to strengthen enamel.

Contact Dr. Michael Handler Dentistry for more information.


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