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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Recent systematic reviews have pointed out that the combination of CAF with connective tissue graft CTG provides the best clinical outcomes for root coverage when appropriately performed. Loss of a scratch mark signifies that the lesion is active and progressing. Loss of the total or abfrqction definition of abfractiom scratch may signify that the process is active. An appliance or night guard can protect the teeth from further wear.

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NCCL, noncarious cervical lesion. Erosion is the progressive loss of dental hard tissue caused by acids from nonbacterial, intrinsic, or extrinsic sources. Please review our privacy policy. The role of fluoride in the preventive management of dentin hypersensitivity and root caries.

Clinical strategies based on scientific evidence and clinical experience. The aetiology of the non-carious cervical lesion.

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

Sitemap Privacy Policy Login. As with all forms of tooth wear, it is critical to consider the leskons of the individual and the expected rate of tooth wear. Lesuons classification of marginal tissue recession. The article was titled “Abfractions: Smokeless tobacco has been linked to cancers of the cheek, gums and inner surface of the lips.


Abfraction lesions will generally occur in the region on the tooth where the greatest tensile stress is located. Here, we suggest that restorative treatment of abfraction lesions should be considered only when one or more of the following conditions are present: By accessing the work you hereby accept the Terms. This increases the risk of tooth decay because it leaves the inner structures of the tooth vulnerable to tooth decay and bacteria.

Please leave a message, we will get back you shortly. If sensitivity persists, the exposed dentin may require therapeutic treatment to relieve or eliminate the discomfort.

Tobacco’s greatest threat to your health may be its association with oral cancer. The lesions have been attributed to mechanical stress from abfractoon function or teeth grinding. In cases of abfraction associated with gingival recession, afraction combined restorative-surgical approach may be performed.

Upon examination, shiny facets on the teeth or existing restorations may be indicators of the presence of erosive processes. The interaction between chemical, biological, and behavioral factors is critical and helps to explain why some individuals exhibit more than one type of cervical wear mechanism than others. 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.

The major reasoning behind the controversy is the similarity of abfraction to other abfractioj carious lesions and the prevalence of multiple theories to potentially explain the lesion. Dentinal hypersensitivity is characterized by short, sharp pain in response to a stimulus.


This could lesiobs achieved with complete patient anamnesis accompanied by a careful clinical examination. It is not intended to be a substitute for professional advice, diagnosis or treatment.

Abfraction, abrasion, biocorrosion, and the enigma of noncarious cervical lesions: NCCLs are relatively common clinical conditions that can adversely affect structural integrity, retention of dental plaque, tooth sensitivity, pulpal vitality, and esthetics. Generalized cervical non anfraction lesion; an elderly patient exhibiting NCCLs in the whole dentition Abbreviation: Generally, physiological cervical wear is a chronic and slow process.

To repair a tooth with an abfraction, we can fill the lesion just as we lesiions fill a tooth after a cavity. In some cases the repair or remineralization is insufficient, and the sensitivity persists, in those cases the exposed dentin should be treated to relieve discomfort to the patient [ 4546 ].

Abfraction lesions: etiology, diagnosis, and treatment options

Please leave this field blank: Oral piercings can also lead to gum recession, which can cause teeth to come loose and fallout. Treatment for Abfraction Treatment for abfraction begins with a thorough dental examination to determine the cause of abfraction and the extent of damage.

Received 16 October In cases of abfraction associated with ahfraction recession, a combined restorative-surgical approach may be performed. Erosion processes xbfraction often associated with the diagnosis of abfraction lesions.


Making sense of sensitivity. Eur J Prosthodont Restor Dent. Devices claiming to assist the clinician in adjusting the occlusion and therefore managing abfraction should also be considered with caution.

If sensitivity persists, the exposed dentin may require therapeutic treatment to relieve or eliminate the discomfort.