Tooth Attrition (Attrition, Dental)

The wearing away of a tooth as a result of tooth-to-tooth contact, as in mastication, occurring only on the occlusal, incisal, and proximal surfaces. It is chiefly associated with aging. It is differentiated from TOOTH ABRASION (the pathologic wearing away of the tooth substance by friction, as brushing, bruxism, clenching, and other mechanical causes) and from TOOTH EROSION (the loss of substance caused by chemical action without bacterial action). (Jablonski, Dictionary of Dentistry, 1992, p86)

Also Known As:

Networked: 137 relevant articles (2 outcomes, 21 trials/studies)

Relationship Network

Disease Context: Research Results

Related Diseases

1.	Periodontal Diseases (Periodontal Disease)
2.	Tooth Avulsion
3.	Temporomandibular Joint Disorders (Temporomandibular Joint Disorder)
4.	Hypercementosis
5.	Bruxism

Experts

1.	Stober, Thomas: 4 articles (01/2020 - 03/2008)
2.	Kakuta, Kiyoshi: 4 articles (02/2012 - 09/2003)
3.	Ogura, Hideo: 4 articles (02/2012 - 09/2003)
4.	Rammelsberg, Peter: 3 articles (01/2020 - 03/2008)
5.	Rues, Stefan: 3 articles (01/2020 - 04/2012)
6.	Lawson, Nathaniel C: 2 articles (10/2020 - 12/2014)
7.	Morita, Koji: 2 articles (09/2020 - 12/2017)
8.	Tsuga, Kazuhiro: 2 articles (09/2020 - 12/2017)
9.	Tsuka, Hiroki: 2 articles (09/2020 - 12/2017)
10.	Yoshida, Mitsuyoshi: 2 articles (09/2020 - 12/2017)

Drugs and Biologics

Drugs and Important Biological Agents (IBA) related to Tooth Attrition:

1.	dimemorfan (AT 17)IBA 01/01/1999 - "This study demonstrated that the mean pooled occlusal wear of four ultraviolet light-cured posterior composites at 17 years was 264 microns (approximately 0.25 mm), and that most wear (75%) occurred in the first 5 years. "
2.	Composite ResinsIBA 07/01/2014 - "The present study sets out to determine the proportion of NCCLs that presents occlusal wear facets, and to compare the failure pattern of resin composite restorations in NCCLs with and without occlusal wear facets. " 10/01/2005 - "The purpose of this study was to evaluate the clinical effect of using composite resin to fill dental attrition on occlusal surface. " 03/01/1984 - "[Studies on the occlusal wear of posterior composite resin restorations. " 03/01/1984 - "[Studies on the occlusal wear of posterior composite resin restorations. " 09/01/2016 - "Tooth type, number of restored surfaces and patient-related factors like a high caries risk and occlusal wear were consistently found to influence composite resin restoration survival in posterior teeth, whereas materials factors were not consistently implicated with the survivalrate. "
3.	Dental Porcelain (Porcelain)IBA 06/05/2023 - "Reasons for replacement were grouped as failure of veneering porcelain, framework fracture, implant loss, patient-driven concerns, excessive occlusal wear, and other. " 06/01/1998 - "The results were as follows: 1. HS teeth exhibited greater resistance to the occlusal wear than resin and porcelain posterior teeth. " 03/01/1980 - "In attempting to avoid the undesirable sequelae of occlusal wear due to friction, the dentist may choose one of these techniques to complete the adjustment of vacuum-fired porcelain denture teeth prior to placement of the denture. " 01/01/1989 - "From the in vivo studies, data of occlusal contact wear of gold, porcelain and some resin based materials in four different persons, with earlier histories of occlusal wear of teeth and/or restorations, were presented. " 03/01/1984 - "[Study on occlusal wear of metal, porcelain and resin artificial posterior teeth]."
4.	Dantrolene (Dantrium)FDA LinkGeneric 11/01/2001 - "Dantrolene counteracts the masseter muscle damage induced by artificial occlusal wear: studies in a rat model." 08/01/2010 - "Assessment of the effect of the use of laser light or dantrolene on facial muscle under occlusal wear: a Raman spectroscopic study in a rodent model."
5.	MetalsIBA 03/01/2012 - "An alternative treatment of occlusal wear: cast metal occlusal surface." 01/01/2012 - "A case report of a patient who had increased tendency of occlusal wear was treated with custom made metal occlusal surface of denture teeth to enhance wear resistance and to improve the masticatory efficiency." 05/01/2017 - "It is hypothesized that metal occlusal surfaces in the posterior region may reduce occlusal wear in these types of prostheses. " 03/01/1984 - "[Study on occlusal wear of metal, porcelain and resin artificial posterior teeth]." 10/01/2015 - "Zirconia-ceramic and metal-ceramic FDPs all fractured from microcracks that emanated from occlusal wear facets. "
6.	zirconium oxide (zirconia)IBA 02/01/2023 - "This clinical report describes the use of zirconia as an alternative material on a patient with increased tendencies for occlusal wear. " 10/01/2020 - "Denture teeth made from different materials demonstrate significantly different volumetric substance loss when subjected to occlusal wear by zirconia antagonists. " 09/15/2021 - "There was a statistically significant difference (P<0.05) between staining, occlusal wear, gingival health, plaque retention, and parental satisfaction between groups at 18 months, with the zirconia crowns outperforming the GFRC crowns in all those categories. " 08/27/2021 - "Although zirconia is the hardest dental materials, zirconia restorative rarely subjects the antagonist teeth to occlusal wear when it is mirror polished. " 10/01/2015 - "Zirconia-ceramic and metal-ceramic FDPs all fractured from microcracks that emanated from occlusal wear facets. "
7.	GoldIBA 01/01/1989 - "From the in vivo studies, data of occlusal contact wear of gold, porcelain and some resin based materials in four different persons, with earlier histories of occlusal wear of teeth and/or restorations, were presented. " 03/01/2012 - "Acrylic resin denture teeth often exhibit rapid occlusal wear, which may lead to decrease in the chewing efficiency, loss of vertical dimension of occlusion, denture instability, temporomandibular joint disturbances, etc. There are various treatment options available like, use of highly cross linked acrylic teeth, amalgam or metal inserts on occlusal surface, use of composite, gold or metal occlusal surface, etc. Several articles have described methods to construct gold and metal occlusal surfaces, however, these methods are time-consuming, expensive and requires many cumbersome steps. "
8.	lithia disilicateIBA 12/01/2014 - "Zirconia experiences less and lithium disilicate experiences equivalent occlusal wear as natural enamel. " 12/01/2020 - "This study's hypothesis was to evaluate differences of the occlusal wear rate for monolithically fabricated lithium disilicate and hand-veneered zirconia crowns in-vivo. "
9.	Resin Cements (Cement, Resin)IBA 02/01/1995 - "The present study measured in vitro occlusal wear, quantity of remaining double bonds, and volumetric filler content of eight dual-cure resin cements. "
10.	Acrylic ResinsIBA 11/29/2022 - "The most frequent reason for replacement was catastrophic fracture of the acrylic resin (61%), followed by excessive occlusal wear (19%). " 11/29/2022 - "Reasons for replacement were grouped as fracture of the framework, implant loss, patient-related concerns, catastrophic acrylic resin fracture (judged to be beyond predictable repair by the clinician), and extensive occlusal wear (judged to have worn to the point of requiring replacement). " 04/01/2022 - "A patient who presented with moderate occlusal wear of the prosthetic teeth and substantial fracture of the maxillary anterior acrylic resin base only 2 years after a previous replacement of the acrylic resin base and denture teeth is described. " 11/01/1981 - "Quantitative evaluation of in vivo occlusal wear of acrylic resin bridges and wear resistance of three different materials-results after 6 months." 03/01/1997 - "Acrylic resin denture teeth often exhibit rapid occlusal wear, which may lead to a loss of chewing efficiency and a loss of vertical dimension of occlusion. "

Therapies and Procedures

1.	Bite Force (Occlusal Forces) 04/01/2022 - "The provided treatment helped this patient, who was likely to need more frequent maintenance visits in the future because of his history of accelerated occlusal wear and increased occlusal force." 01/01/2013 - "A preliminary study to find a possible association between occlusal wear and maximum bite force in humans." 03/01/1995 - "The aim of this study was to investigate the dentofacial structure, the occlusal traits, and the bite force in subjects with advanced occlusal wear. " 04/01/1994 - "Bite force and dentofacial morphology in men with severe dental attrition." 12/01/1993 - "Other factors which were found to correlate significantly with increased occlusal wear were: age, increased bite force, decreased occlusal tactile sensitivity, increased endurance time, and reduced tendency for crowding in the dental arches. "
2.	Lasers (Laser) 05/01/2014 - "The occlusal wear of the posterior denture teeth of 11 subjects was assessed in two study centers by use of plaster replicas and 3D laser-scanning methods. " 08/01/2012 - "Occlusal wear was measured as vertical height loss using a 3-D laser scanning microscope. " 08/01/2010 - "Occlusal wear did not caused morphologic alterations in the masseter muscle but resulted in changes of the levels of CaP(i) that were less compromising when the laser light was used." 06/01/2007 - "With 33 randomly selected Class I and II restorations, measurements of occlusal wear (3-dimensional laser scanner) and marginal analyses (scanning electron microscope) were done using replicas. " 03/01/2003 - "With 33 randomly selected class I and II restorations, measurements of occlusal wear (via 3D laser scanner) and qualitative and quantitative marginal analysis (via scanning electron microscope) were performed using a replica technique. "
3.	Crowns (Crown, Dental) 06/01/2023 - "The morphology of occlusal wear facets of mandibular first molar crowns designed with the occlusion constructed using the segmented tooth registration method are more coincident with the original morphology." 01/01/2020 - "No occlusal wear was found in any of the samples, a breach in marginal integrity was seen only in 16.6% of cases, and only 5.5% of biological crowns showed discoloration (darker) at 12 months intervals. " 01/01/2020 - "To restore the grossly decayed primary molars with biological crowns and to evaluate them for longevity, change in color, occlusal wear, marginal integrity, and patient/parent acceptance. " 01/01/2017 - "Permanent teeth with complete crowns evidencing occlusal wear were examined macroscopically. " 02/01/2013 - "He revealed short clinical crowns, occlusal wear with exposed dentine in posterior areas. "
4.	Prostheses and Implants (Prosthesis) 12/25/2020 - "In the case of severe tooth attrition, it is feasible to use the "biocopy function" in the design software to design the final prosthesis, which is conducive to reduce the difficulty of adjustment and achieve predictable functional and aesthetic effects, which is of great significance to save clinical time and improve the accuracy of restoration." 02/01/2008 - "Tooth attrition was higher in the prosthesis treated sides (P<0.001)." 09/01/2001 - "Occlusal wear, patient age and gender, time of prosthetic loading, jaw, location in the dental arch, implant diameter, prosthesis construction, occlusal material, periimplantitis, and loosening of the prosthetic construction were recorded. " 04/01/1991 - "The major topics include the assessment and treatment of occlusal wear, the controversies surrounding treatment position of the mandibular condyles, occlusal considerations in osseointegrated prostheses, the two-way relationship between occlusal factors and temporomandibular disorders, design criteria and longevity studies in resin-bonded, fixed-partial dentures, and a potpourri of articles on other topics of interest. " 05/01/2017 - "It is hypothesized that metal occlusal surfaces in the posterior region may reduce occlusal wear in these types of prostheses. "
5.	Vertical Dimension (Occlusion Vertical Dimension) 12/01/2017 - "The predictor variables in this study included oral symptoms (temporomandibular joint noise, tooth clenching and grinding, buccal mucosa ridging, dental attrition, and tongue habit), oral anatomy (occlusal vertical dimension), and oral function (average occlusal pressure, occlusal contact area, and maximum voluntary tongue pressure). " 03/01/2023 - "This report presents a clinical case that follows a comprehensive digital workflow to increase occlusal vertical dimension of a patient presenting with occlusal wear. " 09/01/1997 - "Midface collapse is a disease caused by occlusal interferences leading to excessive tooth attrition and loss of vertical dimension. " 03/01/1997 - "Acrylic resin denture teeth often exhibit rapid occlusal wear, which may lead to a loss of chewing efficiency and a loss of vertical dimension of occlusion. " 07/26/2023 - "Worn denture teeth continue to be a significant complication with implant-supported prostheses. This article discusses a case report that used an intraoral scanning system to restore an existing maxillary implant-supported prosthesis with significant posterior occlusal wear.  IPS e.max (Ivoclar Vivadent, Schaan, Liechtenstein) restorations were fabricated and cemented to the prepared posterior denture teeth to re-establish the occlusal vertical dimension and to help prevent further wear of the occlusal surfaces."