Abfraction is a theoretical concept explaining a loss of tooth structure not caused by tooth decay (non-carious cervical lesions). It is suggested that these lesions. Multiple factors are seen as contributing to the development of noncarious cervical lesions (NCCLs). The term abfraction is applied to these lesions in relation to. Evidence supports that abfraction lesions, as any NCCLs, have a multifactorial etiology. Particularly, the cervical wear of abfraction can occur.

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This can also be achieved by altering the tooth surfaces such as cuspal inclines, reducing heavy contacts and removing premature contacts.

Efficacy of periodontal plastic procedures in the treatment of multiple gingival recessions. The restoration must recreate not only the contour of the tooth crown but also the contour of the lost CEJ at the root portion.

In cases of asymptomatic teeth, where tooth vitality and function are not compromised, abfraction lesions should be monitored for at least 6 months before any invasive procedure is planned. There is no conclusive evidence for reliable, predictable, and successful treatment regimens for abfraction lesions.

The prevalence of NCCLs is greater in incisors and premolars than in canines and molars. Regurgitation is defined as an involuntary process as a complication of gastrointestinal problems, or be patient-induced as in anorexia nervosa or bulimia. As with any clinical condition, the diagnosis of abfraction plays a significant role in the proper management of these lesions. Diagnosis of erosion may not be easily accomplished because patients may not volunteer information as in cases of eating disorders, or patients may not link heartburn or stomach upsets with teeth defects.

As with all forms of tooth wear, it is critical to consider the age of the individual and the expected rate of tooth wear. If sensitivity persists, the exposed dentin may require therapeutic treatment to relieve or eliminate the discomfort.


By accessing the work you hereby accept the Terms. Abfraction, abrasion, biocorrosion, and the enigma of noncarious cervical lesions: This could be achieved with complete patient anamnesis accompanied by a careful clinical examination.

Causes of Abfraction – South Ogden, UT

Journal of Oral and Maxillofacial Pathology. Non-carious cervical lesions associated with gingival recessions: The etiology of gingival erosion. Another important factor deserving attention while planning for the restoration of abfraction lesions is the xbfraction retention. Marked variations exist in dental practice concerning the diagnosis and management of these lesions. Non-commercial uses of the work are permitted without aabfraction further permission from Dove Medical Press Limited, provided the work is properly attributed.

Nevertheless, there is no evidence that restorative treatment of NCCLs is effective in impeding further development of the lesions, and therefore, restorations cannot be used as a preventive measure to stop lesion progression.

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The full terms of this license are available at https: Root coverage surgical procedures Abfraction lesions may be associated with gingival recession, ie, the gingival margins of the affected teeth migrate apically, exposing root surfaces to the lssions cavity.

Guidelines for the enhancement of esthetics may help the patient when selecting treatment options after they have recognized their goals. Received 16 October Proc Inst Mech Eng H. In cases of abfraction associated abfractino gingival recession, a combined restorative-surgical approach may be performed. Orofacial soft tissues — Soft tissues around the mouth Actinomycosis Angioedema Basal cell carcinoma Cutaneous sinus of dental origin Cystic hygroma Gnathophyma Ludwig’s angina Macrostomia Melkersson—Rosenthal syndrome Microstomia Noma Oral Crohn’s disease Orofacial granulomatosis Perioral dermatitis Pyostomatitis vegetans.

How dentists classified and treated non-carious cervical lesions. His work is exceptional, anfraction pretty much pain free!! Other treatment options include the following: This work abfracrion published and licensed by Dove Medical Press Limited. Nasopalatine duct Median mandibular Median palatal Traumatic bone Osteoma Osteomyelitis Osteonecrosis Bisphosphonate-associated Neuralgia-inducing cavitational osteonecrosis Osteoradionecrosis Osteoporotic bone marrow defect Paget’s disease of bone Periapical abscess Phoenix abscess Periapical periodontitis Stafne defect Torus mandibularis.


Restorative treatment The value of restorative dentistry to treat NCCLs remains a questionable issue in dentistry.

Abfraction lesions: etiology, diagnosis, and treatment options | CCIDE

The decree to monitor abfraction lesions rather than to intervene restoratively should be related to the patient’s age and how these NCCLs compromises in both function and tooth vitality. These notches are often angular, however, they may become rounded over time as a result of abrasively brushing the teeth.

Clinical shapes of abfraction lesions. As professionals, dentists should not impose their esthetic concerns on the abfdaction. Hunter-Schreger Band patterns in human tooth enamel. Journal of Dental Research. Stresses at the cervical lesion of maxillary premolar — agfraction finite element investigation. Some esthetic factors in a smile.

The descending order of prevalence of NCCLs is incisors, premolars, canines and molars [ 1114 ]. This page was last edited on 13 Julyat Wear facets may be found in the enamel, primary dentin, physiologic secondary dentin, and reparative sclerotic dentin.

Abfraction lesions: etiology, diagnosis, and treatment options

Restorative challenges for these lesions are also attributed to difficulty with moisture control, in gaining access to subgingival margins, 538 and in treating the sclerotic dentin, the most affected tissue due to these defects, with adhesive techniques. Hunter-Schreger Band patterns in human tooth enamel. Duke ES, Lindemuth J.