Wear of materials is a complex and unpredictable phenomenon. The variables affecting the mechanism of wear include the properties of the two contacting materials and the surrounding and interfacial media. This paper reviews the dental wear of different restorative materials and their counter effect on the tooth structure. It presents the updated classifications for tooth surface lesions termed dental wear, and discusses the wear behavior of various restorative materials. Some guidelines for restorative material selection are given. Clinical wear bears a multifactorial etiology, understanding the mechanism of action is an important step in an appropriate restoration material selection. Each material selected should meet the individual wear behavior and needs. Individual factors may enhance the wear rates: aggressive tooth brushing, parafunctions, diet, acidic/aqueous environment, surface geometry, and diminished tooth support. Supportive treatment following restoration is important to monitor wear rates.