Understanding Tooth Wear
Tooth wear can have a variety of causes, some of which will greatly affect the health and appearance of your smile. Properly managing tooth wear requires that Dr. Larsen first identifies the specific cause.
NCCL - Non-Carious Cervical Lesions
Non-carious cervical lesions (NCCL) are characterized by a loss of hard dental tissue near the cement-enamel-junction. Commonly, their shape is like a wedge with the apex pointing inwards. Other times, they appear as regular depressions, like a dome or a cup. Their main characteristic is the presence of hard-mineralized tissue. Commonly, when the NCCL is painless and does not affect esthetics, there is no complaint by the patient.
The erosion of tooth surfaces is typically caused by acidic materials in your mouth. It may be acidic foods or drinks - or may be caused by stomach acid (aka Acid Reflux). Dr. Larsen may note that you have apparent wear that is affecting your teeth.
The clenching or grinding of your teeth is known as Bruxism. It may have multiple causes such as stress or a problem with tooth alignment. Dr. Larsen may see the affects in tooth wear, but it is helpful for you to let us know if you clench or grind your teeth.