Objectives: Investigate Tooth Surface Loss TSL, among 12-14 years school children in Khartoum State, Sudan; evaluate pattern, severity and determine relationship between TSL, dietary habits and socio-economical status. Basic Research Design: Cross sectional survey among primary public and private schools. Method and Participants: Cluster sample of 1,138 12 to 14–year old students from both public and private school. Mild and moderate TSL was measured on buccal, lingual/palatal surfaces of maxillary and mandibular incisors and canines and occlusal, buccal, lingual/palatal surfaces of maxillary and mandibular premolars and molars. Surfaces scored according to criterion described by the National Survey of Child Dental Health. Results: The prevalence of TSL was found to be 74%. Mild and moderate TSL was detected on palatal surfaces of maxillary central incisors followed by occlusal surfaces of mandibular molars. TSL into the pulp was not detected. Conclusion: A high prevalence of 74% was found with mild and moderate TSL with no pulpal involvement. There was an association between consumption of erosive foods and the prevalence of TSL. Socio-economic status and gender did not present significant differences. Key words: Gender, erosive foods, prevalence, socio-economic status, TSL