Purpose: This article presents an overview of etiologies associated with tooth wear. Materials and Methods: Specific types of wear based on clinical findings and patient history are described. Results: The occurrence and pattern of tooth wear are related to cultural, dietary, occupational, and geographic factors. Examples of tooth wear related to these factors with regional specificity are presented. Conclusion: The dental practitioner should recognize the characteristic signs of tooth wear, as they may be the first to discuss the problem with the patient. Management should be based on accurate diagnosis.