Occlusal Wear
The loss of tooth structure due to the rubbing of tooth against another tooth is called Occlusal Wear in Chicago IL.
Causes of Worn Teeth In Chicago IL
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Parafunctional habits: bruxism (grinding), clenching, or object biting (ice, nails, pens). These can occur for a number of reasons, including:
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Stress
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Medications: levodopa, fluoxetine, lithium, citalopram, etc.
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Habits
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Bite interference due to:
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Natural tooth position
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Restorations that are “high” or unpolished porcelain rubbing against natural tooth structure.
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Shifting tooth position from periodontal disease
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Missing teeth – spaces in your dentition will put more pressure than normal on the remaining teeth. This is most noticeable with your molars and other posterior teeth.
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Diet
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Nuts, ice
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Excessive gum chewing
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Systemic/Neurological
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Sleep apnea
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Huntington’s disease, Parkinson’s disease
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Down syndrome
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Autism
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Developmental dental defects –enamel is thin or weak
Symptoms of Occlusal Wear
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Flattening of chewing surfaces
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Trismus (restricted mouth opening)
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Tenderness in the muscles used for chewing
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Headaches, usually near the temples
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The clicking of the temporomandibular joint (TMJ) – where your jaw attaches to the rest of your skull
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The bite doesn’t “feel right”
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Loose teeth
Risks of Attrition
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Teeth: Tooth sensitivity, fracture of teeth, exposure of tooth nerve, poor esthetics, toothaches
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Functional: Decreased chewing efficiency, pain on chewing
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Temporomandibular joint disorders, or chronic headaches
Treatment Options
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Bite equilibration: A procedure done in the office where the dentist reduces the area causing the interference, allowing the teeth to come together more naturally
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Occlusal guard to prevent grinding and clenching
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Restorative procedures: Fillings or crowns to prevent further wear, decrease sensitivity, or improve aesthetics of worn dentition.
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Orthodontic movement to fix issues with a misaligned bite
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For severe cases, the only treatment is a “full mouth rehab” – necessitating crowns for nearly every tooth.