Occlusal problems, mental health issues and non-carious cervical lesions

Nascimento, Bruna Luiza do; Vieira, Alexandre R.; Bezamat, Mariana; Ignácio, Sérgio Aparecido; Souza, E. M.

doi:10.1007/s10266-021-00658-5

Cited by 9 publications

(14 citation statements)

References 35 publications

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“…From 2018 to now, more than 150 studies have been published in PubMed indexed journals regarding this form of dental wear. Most of the studies focused on the etiology of NCCLs [ 43 , 44 , 45 , 46 ], but there is currently no established consensus regarding this of for potential treatments, due to the frequent failures recorded in the practical studies [ 4 , 47 , 48 , 49 ].…”

Section: Discussionmentioning

confidence: 99%

Morphological and Optical Coherence Tomography Aspects of Non-Carious Cervical Lesions

Stănuşi

Iacov-Crăițoiu

Scrieciu

et al. 2023

JPM

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Non-carious cervical lesions (NCCLs) are considered the irreversible losses of dental hard tissues at the cemento–enamel junction, in the absence of acute trauma and dental caries. The aim of this study was to highlight the presence of NCCLs in cervical areas based on specific macroscopic aspects in order to establish their clinical form, size and location and to confirm the role of optical coherence tomography (OCT) examination in the early diagnosis of these lesions. For this study, 52 extracted teeth were used, which did not have endodontic treatments, fillings or carious lesions in the cervical area. All teeth were examined macroscopically and OCT was used to evaluate the degree of occlusal wear, the presence and clinical form of NCCLs. Most NCCLs were identified on the buccal surfaces of the premolars. The most frequently encountered clinical form was the wedge-shaped form, with a radicular location. NCCLs present most frequently in the wedge-shaped form. Teeth that presented several NCCLs were identified. The OCT examination is an adjunct method to evaluate the clinical forms of NCCL.

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Section: Discussionmentioning

confidence: 99%

Morphological and Optical Coherence Tomography Aspects of Non-Carious Cervical Lesions

Stănuşi

Iacov-Crăițoiu

Scrieciu

et al. 2023

JPM

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“…45 Using clinical data and genotypical analyses, a significant association was identified between attrition, malocclusion, and NCCLs. 51 However, other NCCL etiology studies indicate occlusal wear is not related to their formation, 7 occlusal factors alone are not sufficient to explain their presence, 52 and there is no association with wear facets. Furthermore, a systematic review of clinical studies concluded that "the role of occlusion in the pathogenesis of noncarious cervical lesions seems as yet undetermined."…”

Section: F I G U R Ementioning

confidence: 98%

“…The factors have included occlusal wear facets, 8,28,30,32,44,45 heavy occlusal forces, 20 increased occlusal contact area, 27 premature contacts, 46,47 extended occlusion and disocclusion time, 48 group function occlusion, 49 lateral excursive contact of teeth and bruxism, 31 irregular lateral excursions, 50 and lack of canine disclusion 45 . Using clinical data and genotypical analyses, a significant association was identified between attrition, malocclusion, and NCCLs 51 . However, other NCCL etiology studies indicate occlusal wear is not related to their formation, 7 occlusal factors alone are not sufficient to explain their presence, 52 and there is no association with wear facets 33 .…”

Section: Etiologymentioning

confidence: 99%

Noncarious cervical lesions: Morphology and progression, prevalence, etiology, pathophysiology, and clinical guidelines for restoration

Goodacre

Roberts

Muñoz³

2022

Journal of Prosthodontics

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To synthesize the literature regarding noncarious cervical lesions (NCCLs) and propose clinical guidelines when lesion restoration is indicated. Material and methods: A PubMed search was performed related to NCCL morphology, progression, prevalence, etiology, pathophysiology, and restoration. Results: NCCLs form as either rounded (saucerlike) depressions with smooth, featureless surfaces that progress mainly in height or as V-shaped indentations that increase in both height and depth. Prevalence ranges from less than 10% to over 90% and increases with age. Common locations are the facial surfaces of maxillary premolars. They have a multifactorial etiology due to personal habits such as excessive horizontal toothbrushing and consumption of acidic foods and drinks. Occlusal factors have been identified as contributing to the prevalence of NCCLs in some studies, whereas other studies indicate there is no relationship. The concept of abfraction has been proposed whereby mechanical stress from occlusal loading plays a role in the development and progression of NCCLs with publications supporting the concept and others indicating it lacks the required clinical documentation. Regardless of the development mechanism, demineralization occurs and they are one of the most common demineralization diseases in the body. Treatment should be managed conservatively through preventive intervention with restorative treatment delayed until it becomes necessary due to factors such as lesion progression, impact on patient's quality of life, sensitivity, poor esthetics, and food collection may necessitate restoration. Composite resins are commonly used to restore NCCLs although other materials such as glass ionomer and resin-modified glass ionomer are also used. Sclerotic dentin does not etch like normal dentin and therefore it has been recommended to texture the dentin surface with a fine rotary diamond instrument to improve restoration retention. Some clinicians use mechanical retention to increase retention. Beveling of enamel is used to increase the bonding area and retention as well as enhance the esthetic result by gradually creating a color change between the restoration and tooth. Both multistep and single-step adhesives have been used. Dentin etching should be increased to 30 seconds due to the sclerotic dentin with the adhesive agent applied using a light scrubbing motion for 20 seconds but without excessive force that induces substantial bending of a disposable applicator. Both flowable and sculptable composite resins have been successfully used with some clinicians applying and polymerizing a layer of flowable composite resin and then adding an external layer of sculptable composite resin to provide enhanced resistance to wear.

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“…Currently, the terminology used to name these lesions is still a subject of debate between groups of specialists [3,4]. In 2022, Nascimento et al concluded that occlusal factors may be involved in NCCL generation [5].…”

Section: Introductionmentioning

confidence: 99%

Modifications of the Dental Hard Tissues in the Cervical Area of Occlusally Overloaded Teeth Identified Using Optical Coherence Tomography

et al. 2022

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Background and objectives: Occlusal overloads produce a series of manifestations in teeth, especially attrition and non-carious cervical lesions (NCCL). Optical Coherence Tomography (OCT) can highlight and evaluate tooth lesions. The aim of this study was to examine the changes of dental hard tissues in the cervical area because of occlusal overload by macroscopic examination and using in vitro Swept Source OCT examination. Materials and Methods: The study was performed on 21 extracted teeth with occlusal trauma. After macroscopic and OCT examination, the 2D OCT images were transformed into 3D images using ImageJ software. Statistical analysis of macroscopic and OCT images was performed with Statistical Package for Social Sciences. Results: On 21 teeth, 88 cervical lesions (cracks) were identified. Upper premolars with an occlusal Smith and Knight tooth wear score of 2 had the most NCCL. Statistical analysis revealed significant differences in the median widths of cervical lesions between teeth with score 1 and score 3. Additionally, we obtained statistically significant differences in median widths between the buccal and oral surfaces. Conclusions: These cracks can be considered precursors of NCCL. NCCL can be located on dental surfaces in the cervical area other than the buccal one. A 3D reconstruction of OCT images emphasized that cracks are located especially at enamel level, evolving towards the enamel–dentin junction, with multiple ramifications.

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Occlusal problems, mental health issues and non-carious cervical lesions

Cited by 9 publications

References 35 publications

Morphological and Optical Coherence Tomography Aspects of Non-Carious Cervical Lesions

Morphological and Optical Coherence Tomography Aspects of Non-Carious Cervical Lesions

Noncarious cervical lesions: Morphology and progression, prevalence, etiology, pathophysiology, and clinical guidelines for restoration

Modifications of the Dental Hard Tissues in the Cervical Area of Occlusally Overloaded Teeth Identified Using Optical Coherence Tomography

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