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Dental attrition is a type of tooth wear caused by tooth-to-tooth contact, [1] resulting in loss of tooth tissue, usually starting at the incisal or occlusal surfaces. Tooth wear is a physiological process and is commonly seen as a normal part of aging.
Attrition mostly causes wear of the incisal and occlusal surfaces of the teeth. Attrition has been associated with masticatory force and parafunctional activity [ 2 ] such as bruxism . A degree of attrition is normal, especially in elderly individuals.
Bruxism is excessive teeth grinding or jaw clenching. It is an oral parafunctional activity ; [ 1 ] i.e., it is unrelated to normal function such as eating or talking. Bruxism is a common behavior; the global prevalence of bruxism (both sleep and awake) is 22.22%. [ 2 ]
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Bruxism, also known as clenching of or grinding on teeth, destroys enamel very quickly. The wear rate of enamel, called attrition, is 8 micrometers a year from normal factors. [citation needed] A common misconception is that enamel wears away mostly from chewing, but actually teeth rarely touch during chewing.
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Occlusal trauma; Secondary occlusal trauma on X-ray film displays two lone-standing mandibular teeth, the lower left first premolar and canine. As the remnants of a once full complement of 16 lower teeth, these two teeth have been alone in opposing the forces associated with mastication for some time, as can be evidenced by the widened PDL surrounding the premolar.