Non – carious teeth loss (NCTL) , Abrasion, attrition, erosion and abfraction are destruction or wear of tooth tissue where bacteria or caries are not involved as causative factor. This epidemiological cross sectional study aiming to survey the prevalence of NCTL and to relate its occurrence with the multi–factorial variables in the people of the  rural areas . All the people attending the dental department in a rural hospital during the study period of four months were included in the study (70) people (1960 tooth) . Tooth brushing , dietary habits, oral health education  programmes and characteristics of  NCTL were examined and analyzed using WHO tooth wear index. the prevalence of NCTL were 71.4% ,  with axial depth of 1–2 millimeters, 73.4% of NCTL. Affecting the posterior teeth, there is strong association of condition and old age group (p<0.01), hard type of food (p<0.03) , right handed with horizontal tooth brushing. Most of the patient receive no treatment until  there is symptoms. Oral health education, early detection of the lesion and further studies comparing urban and rural residence with a larger sample size are needed.