Advanced tooth wear restoration - Full mouth rehabilitation

Tooth wear is a common dental condition, especially in people over the age of 35. It occurs when the teeth gradually lose their surface due to daily use and certain habits. The most common causes of tooth wear include teeth grinding or clenching (bruxism), frequent consumption of hard foods, and excessive intake of fizzy or acidic drinks.

As teeth wear down, patients may experience increased sensitivity to hot or cold foods and drinks. Tooth wear can also reduce the natural height of the bite, known as the occlusal vertical dimension. This may lead to changes in facial appearance, making the face look shorter or more squared. From an esthetic point of view, worn teeth often appear shorter, and gaps may develop between them. In addition, tooth wear can contribute to jaw joint discomfort or temporomandibular joint (TMJ) pain.

In more advanced cases, severe tooth wear can cause teeth to crack or fracture. It may also damage the dental pulp (the nerve inside the tooth), leading to loss of vitality and, in some cases, eventual tooth loss if left untreated.

The treatment of severe tooth wear requires careful planning and a high level of expertise in dental anatomy, bite alignment, and restorative dentistry. Treatment typically begins by establishing a new, healthy bite height that restores proper function and comfort. A temporary mock-up is then created to demonstrate the new shape and length of the teeth based on this new bite position.

A trial period of approximately one month is essential. During this time, patients can experience and adapt to their new bite, ensuring comfort, function, and stability before proceeding with the final restorations.

Traditionally, advanced tooth wear has been treated with full-mouth rehabilitation using porcelain crowns, which provide durable and highly esthetic long-term results, however requires a remarkable amount of tooth structure reduction. At Lilladent, we also offer modern, less invasive alternatives, including ceramic onlays, veneers, and injectable composite bonding techniques. These treatments often require little to no tooth preparation and help preserve as much of the natural tooth structure as possible.

Why choose Lilladent for tooth wear restoration?

• Highly experienced dentists with proven success in treating tooth wear
• Exceptional attention to detail, with all preparations performed under magnification for precise fit and accuracy
• Use of advanced digital technology and modern restorative materials
• Minimally invasive treatment approaches designed to maximize comfort, preserve natural teeth, and reduce overall treatment costs

‍