In India, wearing away of teeth is a big problem…perhaps it might be global problem but I can say with certainty that in India this problem is very rampant.
There are definite reasons for that. Common causes are incorrect use of toothbrush, using highly abrasive and poor-quality tooth powders and toothpastes, and in some cases even the improper contact of upper and lower teeth also contributes towards this problem.
I came across this patient few days ago. He has been using abrasive tooth powders – definitely it must have enhanced this wearing away of tooth structure. But in this middle-aged person the main reason is traumatic bite – i mean the improper way in which upper and lower teeth meet.
You can see the closed bite in this picture – i mean when he is asked to clench his teeth, his upper teeth almost cover his lower teeth. This is not a healthy arrangement of teeth.
Actually, there is so much lack of awareness about such conditions. Even if a person is made aware they hardly opt for corrective treatment saying that it is not an issue. Even this patient said that there is no problem because of closed bite or worn out teeth, just one lower tooth on his right side hurts for which he had come to me.
Needless to repeat once again that the oral health status of indian population is more or less very bad. Tobacco habits particularly smokeless tobacco add fuel to the fire!