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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Restorations of Resin-based composites RBCs and Resin-modified glass ionomer cement RMGIC showed significant reduced dentinal hypersensitivity initially, but reported increased sensitivity of the restored tooth to air and cold when evaluated after 6 months [ 51 ]. Restorative dentistry treatments can effectively restore the damage caused by abfraction, prevent further damage, and improve oral health.

The term abfraction was first published in in a journal article dedicated to distinguishing the ,esions.

Abfraction – Wikipedia

Evidence supports that abfraction lesions, as any NCCLs, have a multifactorial etiology. West Indian Med J.

Schedule an Appointment Today If you suffer from teeth grinding or clenching, or you have noticed notches at your gum line, contact us today to schedule an appointment. Received 16 October On the longevity lesipns teeth.

However, if the tooth wear is likely to compromise the long-term prognosis of the tooth, operative intervention may be required. An appliance or night guard can protect the teeth from further wear.

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A predisposition to failure of restorations placed in NCCL area is observed because of the etiology of the lesions. An index for measuring the wear of abfractjon.

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

Erosion processes are often associated with the diagnosis of abfraction lesions. The decree ahfraction 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. Agri and Aquaculture Journals Dr.

Smokers are six times more likely than nonsmokers to develop these cancers. Proceedings of the 1st European Workshop on Periodontology.

Restorative intervention and occlusal adjustment are not indicated as treatment options to prevent further tooth loss or progression of abfraction.

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As seen in Figure 5 that NCCLs is of multifactorial nature depicting the upper premolar with advanced abfraction lesion in a patient presenting other types of cervical lesions. More Videos You May Like. Activity assessment can also be performed by using a scratch test. RBC restorations offer a favorable esthetic result, but the insertion and removal of the prosthesis, particularly the clasp, may accelerate the wear of the restoration.

While several management strategies have been proposed to treat NCCLs, 538 — 40 treatment planning for these lesions remains an area of great variability among dentists.

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


An index for measuring the wear of teeth. In most cases, there is no complaint from patients with abfraction lesions since lesions are painless and do not affect the esthetics of individual.


The bonds in the enamel rods tend to break down and either fracture due to stress concentration or due to flexion in the cervical area leading to erosion or abrasion and later researchers who once thought as occlusal forces as the etiological factor [ 38920 ], later added, such as abrasive agents like tooth brushes, abrasive paste and or erosion also as one of the etiological factor [ 21 ]. The prevalence of NCCLs is afbraction in incisors and premolars than in canines and molars. Abtraction is defined as an involuntary process as a complication of gastrointestinal problems, or be patient-induced as in anorexia nervosa or bulimia.

Here, we suggest that restorative treatment of abfraction lesions should be considered only when one or more of the following conditions are present: How dentists classified and lesioons non-carious cervical lesions.

Predetermination of root coverage. Duke ES, Lindemuth J. Thus, one must conduct a risk-benefit analysis when considering restorative treatment of abfraction lesions.