Prevalence of Cervical Abrasion in Tertiary Care Center of Chitwan

Abstract

Background: Cervical abrasion is defined as the loss of tooth substance that occurs in the absence of carious mechanism at cementoenamel junction of a tooth. This type of lesion can cause discommoding effects in dental health. The aim of the study was to assess the prevalence of cervical abrasion among general population in Chitwan and to relate the find­ing to probable etiology, thereby developing an etiological hypothesis that can be beneficial during treatment. Methods: The study was carried out between August 2019 and October 2019 in 500 adults who attended the department of Conservative Dentistry and Endodontics, COMS-TH. A proforma con­sisting of demographic data, type of diet and oral hygiene practices was used for the data col­lection and each patient went through a clinical examination as well. The statistical analysis was performed using SPSS. Descriptive analysis was performed and Chi-square test of association was done. Results: Total prevalence of cervical abrasion in the study population was 10.4%. A statistically sig­nificant relationship was observed between cervical abrasion, gender, age, toothbrush frequency, method of tooth brushing and type of toothbrush employed. The study affirmed that population with cervical abrasion had hypersensitivity. Conclusions: The prevalence of cervical abrasions was seen to increase with age, frequency of toothbrushing, faulty method of toothbrushing and use of inappropriate type of toothbrush. Hence, it is advocated that dental professionals guide people on correct brushing technique and use of appropriate type of toothbrush to avoid and prevent this problem from worsening.

Association between cervical abrasion, oral hygiene practices and buccolingual dimension of tooth surfaces: A cross-sectional study

“…[ 10 ] However, it is higher than that reported by David K (6.1%), Sud (13%), and lower than Saxena (68.6%) and Borcic (60%–70%). [ 2 11 12 13 ] Cervical abrasions were more common with maxillary posterior teeth and premolars stems from the fact that the posterior teeth are subjected to stronger occlusal and lateral forces, which is consistent with earlier investigations. [ 14 15 ]…”

“…[ 18 ] In this study, males around 45 years of age had a much higher rate of cervical abrasion than females of 48 years of age which were concurrent with similar studies of Hedge and Shetty and Shreshta et al . [ 2 16 ] It could be because males have a considerable muscle mass and strength, which contributes to significant masticatory forces. Also, females are more conscious about their oral health and are more likely to have frequent dental screening and take therapeutic measures.…”

“…According to the earlier research studies, lesions are more common in all age groups among people who brush their teeth horizontally and with abrasive materials. [ 2 ] Abrasive lesions show statistically significant differences with increasing frequency and time of brushing, frequency of changing toothbrushes, and type of toothpaste used. Similar observations were reported in the literature.…”

“…An extensive lesion may cause structural loss of tooth integrity and esthetically unacceptable. [ 1 2 ] The tooth hypersensitivity can occur owing to abrasion exposing the underlying dentin or root surface. [ 3 ]…”

Assessment of Cervical Abrasion, Dentin Hypersensitivity, and Its Treatment Needs Using the Cervical Abrasion Index of Treatment Needs Probe

“…Lesions are more common in all age groups among people who brush their teeth horizontally and with abrasive materials, as shown by previous research studies [21]. Abrasive lesions exhibit significant variations with intensifying time and frequency of brushing, frequency of changing toothbrushes, and kind of toothpaste used [22,14].…”