Attrition (dental)

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Attrition (dental)
Deviated midline 2.JPG
Attrition of the incisors in someone with bruxism.
Classification and external resources
ICD-10 K03.0
MeSH D019217

Attrition is the loss of tooth structure by mechanical forces from opposing teeth. Attrition initially affects the enamel and, if unchecked, may proceed to the underlying dentin. Once past the enamel, attrition quickly destroys the softer dentin. Erosion is a very important contributing factor to the loss of tooth substance by attrition. (A. Johansson et al. 2008)

The most common cause of attrition is bruxism. Functional habits are those such as chewing and swallowing, which usually puts very little force on opposing teeth. Parafunctional habits, such as clenching and clicking the teeth together nervously, place greater amounts of forces on opposing teeth and begin to wear the teeth. As expected, wear usually begins on the incisal or occlusal surfaces.

Characteristic Features[edit]

Development of a facet (flat surface with circumscribed and well defined border). Opposing tooth facets will match perfectly in occlusion.

Interproximal Attrition[edit]

Occurs at proximal surfaces of adjacent teeth when they move against one another on occlusal loading. Movement of teeth is in the vertical direction.

See also[edit]


Neville, B.W., D. Damm, C. Allen, J. Bouquot. Oral & Maxillofacial Pathology. Second edition. 2002. Page 56. ISBN 0-7216-9003-3.