What Causes Dental Erosion?

Dental erosion develops when teeth are repeatedly exposed to acid over time.

Common causes include:

• Acid reflux (GERD)
• Frequent vomiting
• Citrus fruits and juices
• Soft drinks and sports drinks
• Energy drinks
• Wine
• Frequent consumption of acidic foods
• Dry mouth, which reduces the protective effects of saliva

Unlike tooth decay, erosion is not caused by bacteria. Instead, acid directly dissolves the enamel, making the teeth weaker over time.

Signs and Symptoms

Dental erosion may cause:

• Sensitive teeth
• Teeth that appear thinner or more transparent
• Smooth or shiny tooth surfaces
• Rounded edges on the teeth
• Yellowing teeth as enamel becomes thinner
• Small chips along the edges of teeth
• Teeth that appear shorter over time

In its early stages, dental erosion often develops without pain.

How Is Dental Erosion Diagnosed?

During your examination, Dr. Omeltschenko carefully evaluates your teeth for patterns of enamel loss.

This may include:

• Clinical examination
• Digital photographs
• Digital X-rays
• Assessment of tooth wear patterns
• Review of your diet and beverage habits
• Discussion of acid reflux or other medical conditions
• Evaluation of your bite

Because erosion and grinding can produce different wear patterns, identifying the underlying cause is an important part of treatment planning.

What Happens If Dental Erosion Is Left Untreated?

Without addressing the source of the acid exposure, erosion may continue to progress.

Over time, this may result in:

• Increased tooth sensitivity
• Progressive enamel loss
• Chipped or fractured teeth
• Changes in the appearance of your smile
• Shortened teeth
• More extensive restorative treatment

The earlier erosion is identified, the more conservative treatment can often be.

Possible Treatment Options

Treatment depends on the severity of the erosion and its underlying cause.

Possible treatment options include:

• Reducing Acid Exposure – Identifying and managing dietary or medical sources of acid is often the most important step in preventing further enamel loss.

• Fluoride and Remineralization Strategies – In some situations, fluoride products or other preventive treatments may help strengthen remaining enamel and reduce sensitivity.

• Tooth-Colored Bonding or Fillings – Mild areas of enamel loss may sometimes be restored with tooth-colored materials.

• Same-Day Crowns – Teeth with extensive enamel loss or structural damage may require crowns to restore strength, function, and appearance.

• Bite Evaluation – If grinding or excessive bite forces are also contributing to tooth wear, additional evaluation may be recommended to determine whether bite therapy could benefit your long-term oral health.

Our goal is to preserve as much healthy tooth structure as possible while preventing future damage.

Looking Beyond the Worn Teeth

Dental erosion is often only one part of the picture.

Some patients experience erosion from acid exposure alone. Others have erosion combined with grinding, clenching, or excessive bite forces, accelerating the loss of tooth structure.

At Total Dentistry, we evaluate the health of your gums, teeth, and bite together to determine why your teeth are wearing and develop a treatment plan designed for long-term success.