What Causes Teeth to Wear Down?
Tooth wear is a common but often overlooked dental issue. It can be caused by acid erosion (often from acid reflux or GERD) or mechanical wear (usually due to teeth grinding, also known as bruxism). Over time, these forces weaken your enamel—the protective outer layer of your teeth—leading to a host of problems including sensitivity, cracks, and changes in your bite.
Acid Reflux and Tooth Erosion
If you suffer from acid reflux, your stomach acids can travel up the esophagus and into your mouth. This acid can dissolve the enamel, especially on the inner surfaces of your teeth. Common symptoms include:
Increased tooth sensitivity
Yellowing of teeth due to exposed dentin
Thinning or translucent edges
A burning sensation in your mouth or throat
Silent reflux (LPR) is even more dangerous because it may occur at night without noticeable symptoms, allowing damage to continue undetected.
Grinding and Clenching: The Silent Destroyers
Bruxism—involuntary grinding or clenching of teeth—often occurs at night and may be linked to stress, anxiety, or TMJ disorder. This repeated motion causes teeth to flatten, chip, or crack. Signs of grinding include:
Jaw pain or tightness
Headaches or earaches
Flattened or shortened teeth
Notches at the gumline
TMJ clicking or popping
Left untreated, teeth grinding can accelerate tooth wear, misalign your bite, and strain your jaw joints.
Why You Shouldn’t Ignore Worn-Down Teeth
Worn-down teeth aren’t just a cosmetic concern—they can impact your oral function and overall health. As enamel wears away:
Sensitivity increases
Your bite becomes unstable
Teeth become more prone to fractures
You may develop chronic TMJ pain or muscle tension
Once enamel is gone, it doesn’t grow back, so early diagnosis and treatment are essential.
Treatment Options for Worn-Down Teeth
A comprehensive approach is required to restore function and prevent further damage. Treatments may include:
1. Dental Restorations
Composite build-ups to re-establish your bite
Crowns for severely worn teeth
Bonding for chipped areas
2. Night Splints or Orthotic Appliances
A custom TMJ splint can protect your teeth while relieving stress on the jaw joint. These appliances help deprogram grinding patterns and support muscular balance.
3. Managing Acid Reflux
Work with your GP or gastroenterologist to control reflux. Dietary changes, medication, and avoiding late meals can make a big difference.
4. Botox for Jaw Clenching
TMJ Botox treatment can help reduce muscle tension and control involuntary clenching.
When to See a TMJ Specialist
If you’re experiencing tooth wear, pain, or jaw tension, it’s time to consult a TMJ specialist. A proper diagnosis will help you understand the root cause—whether it’s acid reflux, teeth grinding, or TMJ disorder—and guide your treatment.
Worn-down teeth from acid reflux and grinding are more than just a dental issue—they’re signs of an underlying problem that needs attention. By working with us at Pain Free Dentist Sydney, we may explore restorative, protective, and holistic treatment options, you can protect your smile and feel better every day!
Book an appointment today!
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