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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The value of restorative dentistry to treat NCCLs remains a questionable issue in dentistry. In rare cases, the wear is so extensive that abfracton exposes the pulp. Some of the available treatment strategies may be tailored for abfraction lesione and others are used for NCCLs of all etiologies, depending on the patient factors and the severity of the problem.

Esthetics and appearances have made dental treatment more demanding. We can only repair the teeth. Always seek the advice of your dentist or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment. Thus, one must conduct a risk-benefit analysis when considering restorative treatment of abfraction lesions. Other Eagle syndrome Hemifacial hypertrophy Facial hemiatrophy Oral manifestations of systemic disease.

Journal of Prosthetic Dentistry. An elderly patient exhibiting NCCLs in bafraction whole dentition.


Preserve Your Smile with Treatment for Dental Abfractions

Clinical and anatomical factors limiting treatment outcomes of gingival recession: 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.

Blackwell Munksgaard Ltd; These lesions are multifactorial origin and have many contributing factors which change over time and it is necessary that these potential factors should be evaluated lesins examining a patient with these lesions.

May 25, ; Published Date: Your dentist and dental hygienist are trained to recognize and modify risk factors for abfractions. For permission for commercial use of this work, please see paragraphs 4.

It is usually recommended when an abfraction lesion is less abffraction 1 millimeter, monitoring at regular intervals is a sufficient treatment option. Published online May 3. Stresses caused by occlusal forces is the main etiological factor for noncarious cervical lesions.

Peer reviewers approved by Dr Mary Anne Melo. Some esthetic factors in a smile. Originally published in Inside Dentistry.

Oral infections are common, but they can also contribute to cracked or chipped teeth. Yet, treating dentinal hypersensitivity remains a challenge for clinicians and patients. The various clinical manifestations of abfraction appear to be dependent on the type and severity of the etiological factors involved. Non-carious cervical tooth surface loss: This can also be achieved by altering the tooth surfaces such ledions cuspal inclines, reducing heavy contacts and removing premature contacts.


Given that abfraction lesions have a multifactorial nature and contributing factors may change over time, it is imperative ldsions all potential causal factors be evaluated while examining a patient with such cervical lesions.

Abfraction Lesion: Causes and Treatment | ColgateĀ® Oral Care

Another important factor deserving attention while planning for the restoration of abfraction lesions is the restoration retention. Several features of this site will not function whilst javascript ledions disabled. Please leave a message, we will get back you shortly. Correcting malocclusion can help patients when abfraction is caused by improper bite alignment.

The assessment of lesion activity can be performed every 6 months to 12 months and during regular hygiene visits. Characteristics of noncarious cervical lesions: Consequently, a combined restorative-surgical approach may be indicated in these clinical situations. Seeking treatment for the underlying causes of abfraction, along with repairing any existing lesions, can help protect your smile and keep your oral health on track. Medical conditions and the use of medications that cause a reduction in salivary flow can aggravate the erosive effect on tooth surfaces.

The full terms of this license are available at https: Activity assessment can also be performed by using a scratch test.