11/05/2026
🦷✨ Dental Attrition Caused by Bruxism: What Are the Best Rehabilitation Options?
Severe dental attrition caused by bruxism is becoming increasingly common in modern dentistry. Chronic grinding and clenching can lead to enamel loss, dentin exposure, tooth sensitivity, reduced vertical dimension, fractures, and significant aesthetic compromise.
Today, restorative dentistry offers multiple rehabilitation alternatives depending on the severity of wear, occlusion, patient age, esthetic demands, and functional stability. Some of the most discussed modern options include:
🔹 Direct Composite Restorations
A conservative and minimally invasive alternative, especially useful in early-to-moderate attrition cases. They allow functional and esthetic rehabilitation while preserving tooth structure.
🔹 Ceramic Veneers
Ideal for selected cases with sufficient enamel and controlled occlusal forces. Excellent esthetics, but careful case selection is essential in bruxism patients.
🔹 Full-Coverage Crowns (E-Max or Zirconia)
Frequently recommended in severe wear cases where structural reinforcement and long-term durability are needed. Zirconia offers high resistance, while lithium disilicate provides superior esthetics.
🔹 Overlay / Onlay Restorations
A modern biomimetic approach that preserves more dental tissue compared to conventional crowns while restoring occlusal anatomy and function.
🔹 Occlusal Rehabilitation with Increased Vertical Dimension
In advanced cases, full-mouth rehabilitation may be necessary to restore function, phonetics, esthetics, and temporomandibular balance.
🔹 Night Guards and Bruxism Control
Regardless of the restorative technique selected, occlusal splints remain essential to protect restorations and reduce the impact of parafunctional habits.
📊 Now we want to hear from the Odontovida community:
👉 Which rehabilitation option do you consider the BEST for severe dental attrition caused by bruxism?
1️⃣ Composite Restorations
2️⃣ Veneers
3️⃣ Crowns
4️⃣ Overlays/Onlays
5️⃣ Full-Mouth Rehabilitation
6️⃣ Combination of Multiple Techniques
💬 Share your opinion and explain why you would choose that treatment approach!