Objective:To analyze the wear mechanism and provide a reference for the clinical selection of surface treatment methods for zirconia all-ceramic crowns. Method and materials: A two-body abrasion test was performed on zirconia all-ceramic crowns in an artificial saliva environment to simulate the force of the clinical oral masticatory cycle. The crowns were randomly divided into sandblasting, glazing, and polishing groups. They were ground with natural teeth using an abrasion instrument in an artificial saliva environment. Then, the surface morphologies of the abraded and non-abraded areas of the three groups were observed using scanning electron microscopy at different magnifications. Results: The morphology of the abrasion area under the scanning electron microscope showed that a few pieces of debris were attached, some plow hook-like shallow scratches, and inconspicuous pores in the sandblasting group. The glazing group surface was rough and had sharp edges with scattered granular debris. The polishing group had local micro-cracks, a flap hook-like wear, abrasive stripping, and sticking. While the non-abraded area showed a rough surface in the sandblasting group, there were many pores due to high-pressure sandblasting. The glazing group surface was smooth, with only a few impurities. The polishing group exhibited shallow scratches caused by polishing. Conclusion: The wear mechanisms of the polishing group were mainly abrasive and adhesive wear, while the glazed samples were abrasion and adhesion, and only abrasion for the sandblasting group. Among the three surface treatments, the full anatomical zirconia all-ceramic crown with polishing treatment exhibited the best wear resistance.