Three Causes of Tooth Wear: Erosion, Abrasion, Attrition
The pattern of the wear usually reveals its cause on its own.
Three mechanisms, three different patterns
Attrition is tooth against tooth: matching polished flat facets on opposing teeth and flattened incisal edges, usually from clenching or grinding. Abrasion is friction from something external — a hard brush used horizontally, abrasive pastes, persistent toothpick use, biting thread or packaging — and leaves a sharp wedge-shaped notch just above the gum margin. Erosion is the third and most insidious: no friction at all, the surface is dissolved by acid.
Erosion: the most easily missed mechanism
In erosion the loss is caused by acid arriving directly in the mouth, not bacterial acid. It may come from outside — fizzy, energy and sports drinks, a citrus- or vinegar-heavy diet, sucked acidic vitamin tablets — or from inside, through reflux or frequent vomiting. The pattern differs: broad, shiny, cupped-out areas instead of a notch or a flat facet. Fillings often give it away by standing proud as the enamel around them dissolves. Direction is a clue too: outside acid affects the lip side of the front teeth, reflux the palatal surfaces.
Practical changes that slow wear
- Finish an acidic drink quickly instead of sipping it
- Wait 30-60 minutes before brushing after anything acidic
- Rinse with water meanwhile; milk and cheese buffer the acid
- Brush gently in small circles with a medium-soft brush, not horizontally
- Do not use abrasive whitening pastes continuously
- Stop biting thread, packaging or nails
- If you have reflux symptoms, treating it also helps the teeth
Getting Here, Booking and Emergencies from Menderes
Route, booking and emergency arrangements for patients from Menderes.
Getting here from Menderes
Menderes lies in the Kepez district of Antalya; Kepez is one of the central districts, about 6 kilometres from the clinic. We also see patients from neighbouring areas that share the route from Menderes, such as Çamlıca, Erenköy, Göçerler, Kanal. You can ask for the location on WhatsApp when travelling from Menderes.
Appointments for Menderes
At this distance, splitting treatment into visits is no problem for patients from Menderes, and attending reviews is easy too. As with patients from Kepez generally, appointments for families from Menderes can be scheduled consecutively.
Emergencies from Menderes
Setting out from Menderes at night is quick; come without delay in an emergency, and calling as you leave means preparation is done in advance. For patients coming from Dental Clinic in Menderes, the clinic is open 24/7 and in an emergency the order is set by severity rather than arrival time. For spreading facial swelling, difficulty swallowing or breathing, or toothache with fever, go to the nearest emergency department.
Changes on the Tongue: Which Are Normal
The tongue is the most-looked-at and least-understood part of the mouth. Many changes in its appearance are not disease but normal variations that differ from person to person.
Appearances that need no treatment
These are harmless and require no intervention:
- Geographic tongue: map-like red areas that move over time
- Fissured tongue: deep grooves and lines on the surface
- Prominent veins under the tongue, increasing with age
- Large papillae at the back edges — these are taste buds
Why geographic tongue occurs
It arises as the papillae on the surface are lost and reform in patches, which is why the pattern shifts over weeks. The cause is not fully known but it is linked to heredity, stress and some food sensitivities. It carries no risk of malignancy and is not contagious. In some people it stings with spicy and acidic food; no treatment is needed, only avoiding those foods.
Findings that need assessment
These, by contrast, are different: a one-sided ulcer lasting more than two weeks, a hardened raised area at the edge of the tongue, a white or red patch that stays fixed in one place, restricted tongue movement, and unexplained numbness. The edges of the tongue are the area given particular attention in an oral examination, and these findings should be shown without waiting.

































































