Current view of the diagnosis and restorative clinical management of abfraction lesions
Keywords:
dental materials, diagnosis, tooth enamel, tooth wear, treatment.Abstract
Introduction: Abfraction is a type of injury characterized by the pathological loss of dental tissue associated with biomechanical loads that cause bending and degradation by chemical fatigue of the enamel and dentin outside the point of load of the tooth.Objective: To describe the aspects and considerations currently reported about the diagnosis and treatment of abfraction injuries.
Methods: A scientific literature search was conducted in 5 databases using the following search descriptors in English and Spanish: abfraction, non-carious cervical lesions, diagnosis, management.
Development: Abfraction presents as wedge-shaped lesions, mainly in anterior teeth and premolars. Diagnosis requires careful evaluation of predisposing factors and clinical features. The treatment seeks to restore the anatomy and function of the tooth, as well as eliminate the causative factors. The main challenge is to achieve an optimal seal between the restoration and the tooth at the cervical margin, which can be affected by factors such as eccentric occlusal loading, loss of retention, secondary caries, and discoloration. It is crucial to take complementary measures to eliminate causative agents and ensure the longevity of restorations.
Conclusions: A diagnosis based on a clinical examination and the identification of etiological factors is essential for a correct therapeutic approach. It is necessary to establish a treatment plan that not only allows the anatomy, function, and aesthetics to be restored to a dental organ, but also eliminates the causative factor of this condition.
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References
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3. Calvo García JM, Ríos Reyes FI. Lesiones cervicales no cariosas: una revisión sistemática [Internet]. Rev la Asoc Dent Mex. 2023 [acceso: 04/05/2024];80(4):209-13. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=112310
4. Roberts WE, Mangum JE, Schneider PM. Pathophysiology of Demineralization, Part I: Attrition, Erosion, Abfraction, and Noncarious Cervical Lesions [Internet]. Curr Osteoporos Rep. 2022 [acceso: 04/05/2024]; 20(1):90-105. Disponible en: https://link.springer.com/10.1007/s11914-022-00722-1
5. De Sá Barbosa J, De Sousa Silva MJ, Montero D, Tuzzolo Neto H, Alves Ribeiro R, Rodrigo A, et al. Características clínicas y epidemiológicas de lesiones cervicales no cariosas [Internet]. Rev Odontol. 2020 [acceso: 04/05/2024]; 22(1):36-54. Disponible en: https://revistadigital.uce.edu.ec/index.php/odontologia/article/-view/2119
6. Zafar Q, Qureshi B, Sattar S, Khalid H. Non-Carious Cervical Lesions in Permanent Teeth [Internet]. Pakistan Oral Dent J. 2020 [acceso: 04/05/2024]; 40(2):88-92. Disponible en: https://www.podj.com.pk/index.php/podj/article/view/548
7. Alzahrani L, Denucci GC, Lippert F, Dehailan L Al, Bhamidipalli SS, Hara AT. Impact of toothbrush head configuration and dentifrice abrasivity on non-carious cervical lesions in-vitro [Internet]. J Dent. 2024 [acceso: 04/05/2024]; 140:104798. Disponible en: https://pubmed.ncbi.nlm.nih.gov/38043721/
8. Lee JCM, Burrow MF, Botelho MG. A qualitative analysis of dentists' understanding and management of non-carious cervical lesions (NCCL) [Internet]. J Dent. 2023 [acceso: 04/05/2024]; 136(April):104640. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S0300571223002269
9. Zakirulla M, Alhaydan AYA, Alqahtani MS, Abdullah SM, Alkhammash SMH, Ulhaqban HAM, et al. Prevalence and Characteristics of Non-Carious Cervical Lesions in Abha City, Saudi Arabia [Internet]. Bahrain Med Bull. 2023 [acceso: 04/05/2024]; 45(4):1808-11. Disponible en: https://www.bahrainmedicalbulletin.com/December_2023/BMB-23-660.pdf
10. González García X, Cardentey García J, Martínez Pérez MB. Lesiones cervicales no cariosas en los adolescentes de un área de salud [Internet]. Rev Ciencias Médicas Pinar del Río. 2020 [acceso: 04/05/2024]; 24(2):186-97. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1025-02552021000600004
11. da Silva AMBR, Valencise Magri L, da Silva MAMR, Sousa Neto MD de. Are the bite force and electromyographic activity altered in muscle TMD patients with abfraction lesions? [Internet]. CRANIO®. 2019 [acceso: 04/05/2024]; 37(3):168-74. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29173099/
12. Branco NTT, dos Santos Soares AR, Dutra DJB, Ferreira RC, Moreira AN, Zina LG, et al. Salivary factors associated with noncarious cervical lesions: A systematic review [Internet]. Arch Oral Biol. 2024 [acceso: 04/05/2024]; 162(March):105945. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S0003996924000669
13. Maayan E, Ariel P, Waseem H, Andrey G, Daniel R, Rachel S. Investigating the etiology of non-carious cervical lesions: Novel µCT analysis [Internet]. J Dent. 2023 [acceso: 04/05/2024]; 136(July):104615. Disponible en: https://pubmed.ncbi.nlm.nih.gov/37454790/
14. Medeiros TLM, Mutran SCAN, Espinosa DG, do Carmo Freitas Faial K, Pinheiro HHC, D'Almeida Couto RS. Prevalence and risk indicators of non-carious cervical lesions in male footballers [Internet]. BMC Oral Health. 2020 [acceso: 04/05/2024]; 20(1):215. Disponible en: https://bmcoralhealth.biomedcentral.com/articles/10.1186/s12903-020-01200-9
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Published
2024-11-23
How to Cite
1.
Morales Lastre CC, Navarro Royero A, Sánchez Amaris AP, Gomez Lopez CA. Current view of the diagnosis and restorative clinical management of abfraction lesions. Rev Cubana Med Milit [Internet]. 2024 Nov. 23 [cited 2025 Apr. 3];53(4):e024061535. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/61535
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