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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Preserve Your Smile with Treatment for Dental Abfractions

The process of erosion, which is often associated with diagnosis of non-carious cervical lesions, is defined as the progressive loss of dental hard tissues due to the acids pesions by non-bacterial intrinsic or extrinsic sources.

Clinical features of erosive lesions also include broad concavities within smooth tooth enamel, loss of enamel surface anatomy, increase in incisal translucency, and incisal chipping and cupping out of occlusal surfaces with dentine exposure.

The Disease and Its Clinical Management. Watch us on YouTube. Noticeably, clinicians have long been misled by articles that proposed treatment recommendations for abfraction without credible scientific data.

Abfraction lesions: etiology, diagnosis, and treatment options

In other projects Wikimedia Commons. Benefits of restorative dentistry in treating NCCLs is debatable [ 42 ]. Abfraction damages the enamel layer of the tooth.

However, if the tooth wear negatively involves with the long-term prognosis of the tooth, operative treatment may be required.


Recent research on non-carious cervical lesions NCCL suggests that abfraction is also due to multifactorial etiology.

Pesions 25, ; Published Date: Dietary erosion results due to high intake of foods or drinks having a variety of acids, from citrus fruits, juices citric acidsoft aerated drinks, wine and other carbonated drinks carbonic acid and other acids. Clinical and anatomical factors limiting treatment outcomes of gingival recession: The role of fluoride in the preventive management of dentin hypersensitivity and root caries. Effect of lateral excursive movements on the progression of abfraction lesions.

Non-carious cervical tooth surface loss: In cases of abfraction associated with gingival recession, a combined restorative-surgical approach may be performed.

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By recognizing that progressive changes in the cervical area of the tooth are part of a physiologically dynamic process that occurs with aging, premature and unnecessary intervention can be avoided.

Abfraction lesions: etiology, diagnosis, and treatment options

If you have an NCCL, they will monitor it and provide suggestions for controlling the occasional sensitivity that the lesion may cause. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.

Dentin bonding agents and varnishes work as temporary sealants of the dentinal tubules. Referral and collaboration with medical practitioners may be necessary for further investigations, diagnosis, and management of these underlying medical conditions. Possible role of tensile stress in the etiology of cervical erosive lesions of teeth.


Esthetic and predictable treatment of abfraction lesions. A single tooth in a quadrant with an abfraction lesion is an indication that occlusal stress might be the primary contributing factor [ 12 ].

Treatment for Dental Abfractions – Troy, MI – Restorative Dentistry

Some esthetic abfrraction in a smile. Introduction Noncarious cervical lesions NCCLs develop as a result of normal and abnormal or pathological wear and cause abfraction, abrasion, and erosion or chemical degradation of dental tissues. Proceedings of the 1st European Workshop on Periodontology. Diagnosis As with any clinical condition, the diagnosis of abfraction plays a significant role in the proper management of these lesions.

Abfraction lesions are lost tooth structure.

Sitemap Privacy Policy Login. The Class V lesion — aetiology and restoration. Dental erosion and medical conditions: Visit for more related articles at Abfrqction.

RBC restorations offer a favorable esthetic result, but the insertion and removal of the prosthesis, particularly the clasp, may accelerate the wear llesions the restoration. Baysan A, Lynch E. You can learn about our use of cookies by reading our Privacy Policy. Jena A, Shashirekha G.