Tooth Wear’s Effect on Quality of Life

Abstract

Tooth wear is a complex, multifactorial condition involving the progressive loss of dental hard tissues through mechanical, chemical, and biomechanical processes, including attrition, abrasion, erosion, and abfraction. This condition significantly compromises oral health, masticatory function, aesthetics, and psychosocial well-being. This narrative review synthesizes current evidence on the impact of tooth wear on oral health-related quality of life (OHRQoL). Studies using validated assessment tools such as the Oral Health Impact Profile (OHIP) and Basic Erosive Wear Examination (BEWE) consistently show that individuals with moderate to severe tooth wear frequently experience pain, functional limitations, and psychological discomfort. Although clinical outcomes vary, restorative interventions—particularly composite resin rehabilitation—are generally associated with improved patient-centered outcomes. Greater awareness and integration of tooth wear into public oral health strategies are essential for long-term quality of life improvements. This review underscores the importance of early diagnosis, comprehensive evaluation of etiological factors, and a multidisciplinary management approach to effectively address the challenges posed by tooth wear.