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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Dental erosion and medical conditions: Causes of Abfraction Lesions The lesions have been attributed to mechanical stress from chewing function or teeth grinding. More Videos You May Like.

The risk of developing these cancers increases as people smoke or chew more often or for a longer time. Further research has shown that the normal occlusal forces from chewing and swallowing are not sufficient to cause the stress and flexion required to cause abfraction lesions. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted abfractio, distribution, and reproduction in any medium, provided the original author and source are credited.

A Review of the Literature.

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Correcting malocclusion can help patients when abfraction is caused by improper bite alignment. On observation, the severity of occlusal and cervical wear increases with age and therefore considered as natural physiological processes. More Articles You May Like. In all the restorative systems lesionw in dentistry, the most preferred is adhesive systems, specifically RBCs due to their esthetic results and more lwsions approach [ 57 ].

In these cases, CTG prevents the collapse of the flap into the depressions, which could lead to undesirable outcomes of the root coverage procedure. Troy Office You are viewing the US English site. This work is published abfractioon licensed by Dove Medical Press Limited. As with any clinical condition, the diagnosis of abfraction plays a significant role in the proper management of these lesions.


West Indian Med J. Efficacy of periodontal plastic surgery procedures in the treatment of localized facial gingival recessions.

The Abfractlon of Abfraction If you suffer from teeth grinding or malocclusion, you may be at risk of developing abfractions. Figure 4 Abfraction lesions of different shapes, widths, and depths, characteristic of their different stages of progression. In rare cases, the wear is so extensive that it exposes the pulp.

Treating the underlying causes of abfraction can help improve oral health and prevent damage caused by abfraction lesions. Erosion caused by vomiting typically affects the palatal surfaces of the upper teeth, but this condition can also be caused by dietary acids.

Abfraction Lesion: Causes and Treatment

There is no conclusive evidence for reliable, predictable, and successful treatment regimens for abfraction lesions. The factors related to restorative retention are location of tooth, age of patient and occlusion [ 55 ]. Basal cell adenoma Canalicular adenoma Ductal papilloma Monomorphic adenoma Myoepithelioma Oncocytoma Papillary cystadenoma lymphomatosum Pleomorphic adenoma Sebaceous adenoma Malignant: This review aims to provide insights on where abfraction lesions stand in research and clinical practice today by presenting the current knowledge and treatment options for these lesions.

If sensitivity persists, the exposed dentin may require therapeutic treatment to relieve or eliminate the discomfort. You can learn about our use of cookies by reading our Privacy Policy.

The various clinical manifestations lesjons abfraction appear to be dependent on the type and severity of the etiological factors involved.

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

As discussed previously, successful prevention and management of abfraction or any NCCLs requires an understanding of the risk factors and how these risk factors change over time in individual patients.


The Class V lesion — aetiology and restoration. Moreover, abfraction lesions may be deeper than wider depending on the stage of progression and related causal factors.

For more information about the causes of abfraction and to discuss your treatment options, schedule a consultation with South Ogden, UT dentist Patrick Tanner. Smokers are six times more likely than nonsmokers to develop these cancers.

Treatment for Dental Abfractions – Troy, MI – Restorative Dentistry

Treatment of cervical sensitivity with a root sealant. The clinical relationship between the incidence of occlusal wear and cervical demineralization with NCCL dimensions [ 30 ] has been reported using optical coherence tomography, in which the dentin demineralization promotes the formation of NCCLs from an early stage, whereas occlusal stress is an etiological factor that contributes to the progression of these lesions [ 30 ].

Abfraction lesion formation in maxillary incisors, canines and premolars: Medical conditions and the use of medications that cause a reduction in salivary flow can aggravate the erosive effect on tooth surfaces.

A typical abfraction lesion in a patient with multiple types of NCCLs. Lexions cases where the abutment tooth of a planned removable partial denture has abfraction lesions, then the resin bonded composite restorations should be the esthetic treatment of choice for dealing these type of cases, though the demerits would be accounted during removal and insertion of the prosthesis, which may result in wear of the restoration during prolonged use.