Tooth Wear Through the Ages: What to Expect at Every Stage of Life

Author: Dr Waldo Engelbrecht

The Types of Tooth Wear

  1. Abrasion: This type of wear occurs due to mechanical actions from external sources. Common causes include brushing with excessive force or using a hard-bristled toothbrush, as well as habits like nail-biting or holding objects between the teeth. Over time, abrasion can lead to the loss of enamel, exposing the underlying dentin, which can increase sensitivity.
  2. Attrition: The definition in dentistry refers to the natural wear that occurs from tooth-to-tooth contact, especially during chewing and grinding. It is a normal part of aging but can be exacerbated by conditions like bruxism (teeth grinding), often associated with stress or sleep disorders. Attrition typically leads to the flattening of the biting surfaces of the teeth.
  1. Erosion: Erosion is the chemical dissolution of enamel caused by acids, which can come from dietary sources (such as citrus fruits, soft drinks, and wine) or from the stomach in cases of acid reflux or bulimia. Unlike abrasion and attrition, erosion can occur without physical contact, leading to thinning of the enamel and an increased risk of cavities.

Your Teeth Across Different Life Stages

Tooth wear progresses at different rates depending on your age, lifestyle, and oral hygiene habits. Here’s a closer look at how it affects various stages of life:

Childhood & Adolescence

During childhood, teeth are primarily affected by abrasion, often due to improper brushing techniques or the consumption of acidic foods and drinks. As permanent teeth emerge during adolescence, they are more susceptible to erosion due to diet choices and sometimes aggressive brushing habits. Educating children and teenagers on proper oral hygiene and the importance of a balanced diet is crucial in preventing excessive wear during these formative years.

Adulthood

In adults, it often accelerates due to a combination of factors, including diet, stress, and lifestyle choices. Dental attrition becomes more pronounced as the years go by, particularly in those with habits like bruxism. Additionally, erosion can be exacerbated by occupational hazards or lifestyle choices, such as frequent consumption of acidic beverages or certain medications. Regular dental check-ups during adulthood are vital to monitor tooth wear and implement preventative measures.

Older Adults & Seniors

In the later stages of life, the cumulative effects of tooth wear become more evident. Teeth may appear shorter, and the enamel may become noticeably thinner, increasing the risk of dental problems like sensitivity, decay, and fractures. Older adults are also more likely to experience root exposure due to gum recession, which can further contribute to tooth wear. Maintaining oral health in older age often involves managing wear through restorative procedures, such as crowns or veneers, and continuing preventive care.

Managing Your Teeth to Prevent Abrasion, Attrition & Erosion

Protect Your Teeth Throughout Life’s Journey With Enamel Clinic