Treatment of Pathological Tooth Wear
Price of Dental Prosthetics
The loss of hard tooth tissue is a natural process. However, if teeth become shorter, more sensitive, or cracked, this is considered pathological wear. And it requires professional intervention. At KES clinic, we comprehensively restore bite, aesthetics and chewing function using modern technologies and an individual approach.
What is tooth wear and how to recognise it?
Tooth wear refers to the erosion of enamel and dentine, most often caused by excessive mechanical stress. It can be physiological (age-related) or pathological, if it occurs quickly and destroys the tooth structure.
What to pay attention to:
- Teeth become shorter and smoother.
- Sensitivity to temperature and food appears.
- The colour changes — yellowing or darkening appear.
- Cracks, chips, and discomfort occur when chewing.
- The shape of the face and bite changes: a feeling of ‘sagging lower third’.
- The TMJ (temporomandibular joint) may experience discomfort, and a crunching or clicking sensation may be felt when opening the mouth.
It is important to understand that the earlier treatment begins, the less intervention will be required in the future.
Causes of pathological wear
- Bruxism — grinding teeth during sleep or when stressed.
- Malocclusion, misaligned teeth.
- Missing teeth lead to overloading of other teeth.
- Long-term use of ill-fitting fillings or dentures.
- Acid erosion due to GERD, diet, and excessive consumption of acidic and carbonated foods.
- Hereditary characteristics of enamel structure.
- Excessive functional loads (in athletes, singers, musicians).
Abrasion can also occur in combination with other dental problems — for example, with delayed treatment of pulpitis in a single-canal tooth, when the tissue is weakened and prone to rapid wear.
Methods of restoring teeth with abrasion
Each case requires an individual treatment plan. We start with diagnostics:
- 3D tomography;
- bite analysis;
- digital modelling.
After that, the dentist suggests the most suitable restoration option.
Artistic restoration and veneers
Suitable in cases where most of the crown is preserved and wear is moderate.
We use:
- Composite restorations with anatomical shape reconstruction.
- Ceramic veneers — thin overlays on the front surface of the teeth that both protect and improve aesthetics.
This method is particularly effective for restoring crooked front teeth, including those that have become asymmetrical or ‘chipped’ due to wear.
Prosthetic treatment and mouthguards
Prosthetic rehabilitation is used in cases of significant tooth shortening and malocclusion:
- Placement of veneers, inlays, and crowns (ceramic, zirconium).
- Raising the bite with restoration of tooth height.
- Use of night guards for bruxism — to protect restorations and reduce stress on the joint.
- It can be integrated with the treatment of TMJ dysfunction and jaw alignment.
We select solutions that not only restore aesthetics but also protect teeth from further damage.
Advantages of treatment at our clinic
- Over 25 years of experience in restoring complex orthopaedic cases.
- Use of digital technologies.
- Doctors trained in Zurich, Stuttgart, and Vienna.
- Possibility of phased and comprehensive treatment — from mouthguards to complete rehabilitation.
- High aesthetics and functionality — we take into account not only the shape of the teeth, but also the work of the muscles, joints, and bite.
- Personalised approach and warranty on prosthetics.
In each case, you receive a step-by-step treatment plan, a schedule, and a simulated result that can be digitally previewed.
Price of restoration in case of wear
The cost is calculated individually and depends on the degree of wear, the number of teeth, the type of appliances and the total amount of work. The doctor selects the optimal restoration plan and treatment options that can be implemented in stages.
The exact cost is determined after a diagnosis is made. We offer transparent conditions and step-by-step treatment tailored to the patient’s needs.
Treatment of pathological tooth abrasion in the centre of Kyiv
Our clinic offers professional treatment of pathological tooth wear at 14 Patorzhynskoho Street, in the heart of the city. It is easily accessible from the Zoloti Vorota, Maidan Nezalezhnosti, and Khreshchatyk metro stations, as well as from the Podil and Pecherskyi districts.
It is also easy to get here from other cities or suburbs, such as Brovary, Vyshneve, and Irpin. Convenient parking is available for all visitors.
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FAQ
What is localised pathological tooth wear?
This is a form in which abrasion affects a separate group of teeth (for example, only incisors or canines). This is different from generalised abrasion, where all teeth are affected. Treatment requires accurate diagnosis and targeted restoration.
Is it possible to use ceramic porcelain crowns for pathological tooth wear?
Yes, this is one of the most reliable and durable options. Modern ceramic porcelain and zirconium crowns provide high strength and precise adaptation to the bite.
How are worn teeth treated?
First, a diagnostic examination is conducted, including a CT scan, bite scan, and functional analysis. Then, a restoration method is selected, including restoration, veneers, crowns, or mouthguards, depending on the degree of wear and anatomy.
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