If the tooth structure loss is severe then the treatment is usually some kind of dental restorations. Depends on the case, this can be done with composite restorations, metal restorations, removable partial dentures or dental crowns and bridges. The decision to restore the damaged teeth depends on the wants and needs of the patient, the progression of tooth surface loss and whether tooth surface loss is active or inactive.
What is dental attrition and what is the cause?
Dental attrition is a type of dental wear caused by tooth on tooth contact. The contact can affect cuspal, incisal and proximal surfaces of the tooth. Tooth wear is often seen as a normal part of aging. Attrition, abrasion, erosion or a combination of these factors are the main reasons for tooth wear in elderly people. There are two types of tooth wear, pathological or physiological. Physiological is commonly seen in older patients. Advanced and excessive wear and tooth surface loss can be defined as pathological process, which require dental treatment.
This can be caused by many factors and one of them is parafunctional habit such as bruxism or clenching. Attrition can also be caused by developmental defects, hard or rough-textured diet and absence of posterior teeth support. In cases when the natural teeth occlude with ceramics restorations, attrition of the natural teeth is very common. In addition to other occlusal factors edge-to-edge relation of incisors, unilateral buccolingual cusp-to-cusp relation have been also identified as factors which are affecting occlusal wear.