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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Abfraction – Wikipedia

Those who have developed abfraction lesions as a result of abfractuon teeth grinding often see reduced risk of abfraction by seeking treatment for teeth grinding, such as nightly use of a mouth guard.

Characteristics of noncarious cervical lesions: If there is a need for placement of restoration, NCCLs should be restored as minimally invasive as possible. Tensile stress from malocclusion and masticatory forces was initially proposed as the primary factor in NCCLs; 3 shortly thereafter, these lesions were termed as abfraction lesions.

Other terms bio-corrosion has also been introduced to include all forms of biochemical and electrochemical degradation As lesoons in Figure 4 [ 9 ]. Two-year clinical performance of Class V resin-modified glass-lonomer and resin composite restorations.


Wearing a night guard when you sleep can help absorb the forces placed on the teeth as you grind them at night.

Abfraction Lesion: Causes and Treatment

Lasers for the treatment of dentin hypersensitivity: Non-carious changes to tooth crowns. In extreme cases of Hypersensitivity unresponsive to non-invasive procedures, a restoration might be required.

Peer reviewers approved by Dr Mary Anne Melo. It is noticed that Anfraction are common in those individuals who grind their teeth as the forces acting are of long term duration and greater quantity [ 1621 ]. Upon examination, shiny facets on the lesiohs or existing restorations may be indicators of the presence of erosive processes.

We can only repair the teeth. Restorative challenges for these lesions are also attributed to difficulty with moisture control, in gaining access to subgingival margins, 538 and in treating the sclerotic dentin, the most affected tissue due to these defects, with adhesive lfsions. Variation in clinical decision making related to caries. In an era of personalized dentistry, patient risk factors for NCCLs must be identified and addressed before any treatment is performed.

The activity of abfraction lesions needs to be assessed and considered in the treatment planning process. Noticeably, clinicians have long been misled by articles that proposed treatment recommendations for abfraction without credible scientific data. Making sense of sensitivity.

NCCL, noncarious cervical lesion. This could be achieved with complete patient anamnesis accompanied by a careful clinical examination. Published 3 May Volume Introduction Noncarious cervical lesions NCCLs develop as a result of normal and abnormal or pathological wear and cause abfraction, abrasion, elsions erosion or chemical degradation of dental tissues.


Preserve Your Smile with Treatment for Dental Abfractions

Experts estimate that as much as 10 percent of the population suffers from bruxism. Palate Bednar’s aphthae Cleft palate High-arched palate Palatal cysts of the newborn Inflammatory papillary hyperplasia Stomatitis nicotina Torus palatinus. About 90 percent of people with mouth cancer and some types of throat cancer have used tobacco. Referral and collaboration with medical practitioners may be necessary for further investigations, diagnosis, and management of these underlying medical conditions.

Causes of Abfraction – South Ogden, UT

Originally published in Inside Dentistry. The retention of the cement is also an important criterion while planning for a restorative NCCL procedure.

Tooth sensitivity may be a temporary symptom associated with early stages of abfraction lesions. Abfraction, attrition, erosion is due to normal and abnormal or pathological wear of the dental tissues [ 6 ].

A dentist will generally fill the lesion when it extends below the gums, becomes decayed or difficult to clean, or exposes the pulp or nerve of the tooth. Some of the available treatment strategies may be tailored for abfraction lesions and others are used for NCCLs of all etiologies, depending on the patient factors and the severity of the problem.

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