Dental Conditions

Worn-down teeth are treatable

Teeth that have been flattened, thinned, or shortened can be restored to their original height and function — and the cause identified so it does not simply happen again.

Why it matters beyond appearance

Worn teeth are structurally weakened, not merely shorter. They are considerably more susceptible to cracking, and sensitivity increases as thinning enamel exposes the softer dentine underneath. For some patients that sensitivity becomes significant enough to make eating and drinking uncomfortable.

Wear also signals something. Teeth do not flatten spontaneously — grinding, acid erosion, or a bite that loads certain teeth far harder than others is driving it. Restore the teeth without addressing that cause and the restorations wear out the same way.

The three usual causes

Grinding & Clenching

Bruxism, usually during sleep and usually unnoticed. Produces characteristic flat, polished wear facets that match up between upper and lower teeth.

Acid Erosion

From diet — citrus, carbonated drinks, wine — or from reflux. Produces a different pattern: cupped, scooped-out surfaces and a glassy appearance.

Bite Problems

Where the bite is uneven, a small number of teeth take forces meant to be shared across the whole arch, and wear disproportionately fast.

How restoration works

Restoring worn teeth is more involved than filling a cavity, because rebuilding height changes how the whole bite fits together. It usually requires planning the finished bite first, then working toward it with crowns, onlays, or bonded composite depending on how much structure is left.

A night guard almost always forms part of the plan, protecting the new restorations from the forces that destroyed the originals.

What the first appointment involves

We start by working out what has been wearing the teeth down, because restoring them without answering that question only buys a few years. That means looking at how your teeth meet, checking the wear pattern for the signature of grinding against the signature of acid, and asking about reflux, diet and how you sleep.

You will also be asked how long it has been going on. Most people notice their teeth looking shorter, or a front tooth chipping, long before they come in — and that history tells us how fast it is moving, which matters more than the wear itself.

How long it takes, and what it feels like

Rebuilding worn teeth is done in stages rather than in one appointment. The finished bite is planned first, often tested with a temporary version you wear for a few weeks, so that any problem with the new height is found before anything permanent is made. Most cases run over two to four months.

Teeth worn thin are often sensitive, and we will say plainly whether a case needs to be done all at once or can be staged. There is rarely any urgency to decide at the first visit.

How we treat it

The treatments that address this.

Worn teeth, rebuilt

Both of these patients came to us with teeth worn down over many years. Individual results vary, and we will tell you honestly what is achievable in your case.

Before — heavily decayed upper teeth, dark staining at the gum line, uneven in shade and length
Before
After — upper and lower arches restored on All-on-6 implants, even in shade, length and alignment
After

Full Mouth Restoration on All-on-6 Implants

Upper and lower arches on All-on-6 implants

Heavily decayed and discoloured teeth replaced with fixed restorations carried on six implants in each arch, rebuilt to an even shade and alignment.

Before — Crowded front teeth with Periodontal bone loss; narrow arches
Before
After — Anterior implant bridge, four units on two implants, combined with crowns on remaining teeth for a Full Mouth Rehabilitation
After

Implant bridge with Full Mouth Rehabilitation

Full Mouth Rehabilitation using Four unit implant bridge; Crowns on remaining teeth

Two implants supporting a four-unit bridge at the front, with crowns on the remaining teeth to complete a full-mouth rehabilitation.

See all 47 cases

Concerned about your symptoms?

Book an assessment. We will identify the cause before proposing any restoration. Call (905) 479-7777.