“…The proliferation of caries weakens the dental structure and contributes to ATL; associated with the local microtrauma process due to mastication, it can increase the amount of crown fissures and fractures, favoring the transfer of bacteria within the pulp cavity and the consequent inflammation, infection, and necrosis of soft tissues (Hillson, 2000;Larsen, 2000). High levels of wear and the exposure of the pulp usually produce infection, periapical lesions, alveolar necrosis, and finally tooth loss (Aufderheide and Rodríguez Martín, 1998;Ortner, 2003;Waldron, 2009;Lukacs, 2012). Moreover, the presence of calculus and tissue inflammation is often synergistically related, derived from gingivitis and producing periodontal disease (Duckworth, 2006;Strohm and Alt, 2007).…”