Grinding and clenching (attrition)
Tooth rubbing on tooth flattens edges and biting surfaces. Restorations here face the same forces, so material and protection matter most.
Worn teeth are a bite problem before they are a cosmetic one. Whether veneers, crowns or a planned rebuild suits you depends on why the teeth wore, how much is left and what the back teeth are doing.
The first visit looks at the cause of the wear and your bite, then gives you a written plan with the options.
Veneers can work when wear is mild, limited to the edges of the front teeth, and there is still enamel to bond to and a controlled bite. When teeth are short, worn into the dentine, or the back teeth are worn too, crowns or a planned bite rehabilitation are usually more predictable. At Creative Arts in Dubai the cause of the wear and your bite are assessed first, and a night guard often protects the result.
Most worn mouths show more than one cause. Each one changes what a restoration has to withstand.
Tooth rubbing on tooth flattens edges and biting surfaces. Restorations here face the same forces, so material and protection matter most.
Frequent soft drinks, citrus, sports drinks or stomach acid from reflux soften enamel. Until the acid source is addressed, new restorations are at risk too.
Hard brushing or abrasive pastes wear notches near the gum line. These are often repaired with small bonded fillings rather than veneers or crowns.
Crowded, crossed or edge-to-edge front teeth can wear faster. Sometimes orthodontics first gives restorations a better bite to sit in.
A veneer is designed for a sound tooth with enamel on its front surface. Worn teeth often break both conditions. When the edges have worn through enamel, the exposed dentine underneath bonds less predictably than enamel, and a thin ceramic edge sitting on that surface is more likely to chip.
The bigger issue is the bite. If you grind, the same forces that wore your teeth will act on whatever replaces them. And if the back teeth have worn down, the front teeth take more load when you close, which is exactly where veneers are weakest. Placing veneers on worn front teeth without addressing the back teeth or the habit is a common reason veneers fail early. Our guide to veneers and teeth grinding explains this in more detail.
There is also a space problem. As teeth wear slowly, the teeth and gums tend to follow them, so there may be no room to add material back without changing the bite. That is why the first question is not "crown or veneer?" but "where does the new tooth length come from?"
General patterns for worn teeth specifically. Your examination and bite records decide.
| Veneers | Crowns | |
|---|---|---|
| Suits | Mild wear on front-tooth edges with enamel left | Moderate to severe wear, short teeth, worn back teeth |
| Tooth reduction | Small, but the worn edge may need covering | More, all around the tooth; worn teeth sometimes need little extra |
| Bonding surface | Best on enamel; less predictable on exposed dentine | Does not rely on enamel; retention comes from the tooth shape |
| Under grinding forces | Edges more prone to chipping | Stronger, especially monolithic zirconia on back teeth |
| Restoring lost height | Can add a little length to front edges | Can rebuild height across front and back teeth |
| Protection afterwards | Night guard strongly advised if you grind | Night guard strongly advised if you grind |
Many worn mouths are restored with a mix: crowns on back teeth, veneers or crowns on front teeth, chosen tooth by tooth.
Typical indications. A dentist confirms them after measuring the wear and checking your bite.
When wear is advanced, restoring it becomes a rehabilitation project rather than a single-tooth choice.
Questions about grinding, diet, reflux and brushing, plus examination of the wear pattern. Acid or medical causes may need your GP as well.
First visitPhotographs, intraoral scans and bite records show how much tooth is lost and how the jaws meet. X-rays check roots and existing restorations.
The dentist plans tooth length and bite height digitally, then shows it as a mock-up so you see the change before any preparation.
Provisional restorations or bonded composite let you live with the new bite first. Comfort, speech and chewing are checked and adjusted.
WeeksCrowns, veneers or both are made in the lab in our building, copying the tested design, then fitted and followed by a night guard.
Yes, for many people. If wear is mild and has stopped, the right plan may be to monitor it with photographs and scans, deal with the cause, and protect the teeth with a night guard. Sensitive exposed dentine can often be managed with desensitising products and small fillings; see sensitive teeth.
Where edges are chipped or short, composite bonding adds material without cutting the tooth and is easy to repair. It is also a useful way to trial new tooth length before committing to ceramic. In some patients, aligning the teeth first with orthodontics creates space and spreads bite forces better, so fewer and thinner restorations are needed.
Our page on worn teeth lists all these options from the simplest upward.
Crowns and veneers do not stop grinding or acid. If you clench at night, a custom night guard protects the new work; if acid is the cause, changing the habit or treating reflux matters as much as the ceramic chosen.
When wear affects many teeth, front and back, the answer is usually a planned rebuild rather than individual crowns or veneers. See how full mouth rehabilitation is diagnosed, tested and made.
Read about full mouth rehabilitationThese dentists plan crowns, veneers and bite rehabilitation and decide, tooth by tooth, which restoration suits worn teeth.
Sometimes, if the wear is mild, enamel remains, and the grinding is controlled with a night guard. Veneers on teeth that are still being ground heavily, or where the back teeth are also worn, are prone to chipping and debonding. The bite has to be assessed before veneers are designed for worn teeth.
Usually because of the forces involved. Worn teeth often belong to people who grind, and thin ceramic edges bonded partly to dentine are vulnerable to those forces. If the back teeth are worn, the front teeth also take extra load. Addressing the bite and protecting the result reduce that risk.
No. Many plans mix restorations: crowns on worn back teeth, veneers or bonding on front teeth that still have enamel, and nothing on teeth that are fine. Mild wear may only need monitoring and a night guard. The written plan explains the choice for each tooth.
Not always. If there is room to restore the teeth as they are, the bite may stay the same. When teeth have worn and the jaws have closed together, the dentist may plan a slightly higher bite to create space. This is tested with provisional restorations before the final crowns.
Strength is the priority, so monolithic zirconia is often chosen for back teeth in people who grind, while E.max or layered zirconia may be used where appearance matters more. The choice is made per tooth and depends on bite forces, space and how the crown will look next to its neighbours.
A few front veneers on mild wear may take a few weeks from design to fitting. A full bite rehabilitation usually takes longer, because the new bite is tested in provisional restorations before the final crowns are made. Your plan gives an estimated timeline once the records are taken.
For mild edge wear it often is, and it removes no tooth. Composite wears and stains faster than ceramic and may need repairs, especially if you grind. For advanced wear it can also be used to test a new bite before ceramic crowns or veneers are made.
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