Scanning electron microscope characterization of noncarious cervical lesions in human teeth

Worawongvasu, Ratthapong

doi:10.4103/jomfp.jomfp_232_20

Cited by 5 publications

(5 citation statements)

References 14 publications

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“…The location of the abfraction lesions is mainly in the cervical area of the teeth [20] , sometimes the patient feels sensitivity [21] . It is characterized by crack-like lesions [3] , with sharp internal and external line angles [22] horizontal striae [11] , plate-like lesions located at enamel level, crescent-shaped lesions [23] , depression at the cusp tip in premolars and molars [4] , the shape and size of the lesion depending on the direction, magnitude, frequency, duration and location of the forces that arise when the teeth come into contact [22] . Since ancient times, they concluded that carious lesions were found near the point of support where there was a greater concentration of traction stress.…”

Section: Clinical Aspectmentioning

confidence: 99%

“…Abfraction is the loss of dental tissue [1] that is independent of the bacterial process [3] . These lesions are very common and frequently require treatment in clinical practice [4] .…”

Section: Introductionmentioning

confidence: 99%

“…This alteration has a multifactorial etiology and can occur due to masticatory function, as signs and symptoms of these pathological activities, it can pathological wear, such as abrasion and erosion [5] . These are located in the cement-enamel junction of the tooth and are characterized by concavities with acute angles [3] . The abfraction theory suggests that tooth bending in the cervical area is caused by compressive occlusal forces and tensile stresses [6] , resulting in micro fractures of hydroxyapatite crystals in enamel and dentin with increased fatigue and deformation of tooth structure [7] .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Abfraction: Etiopathogenesis, clinical aspect, diagnosis and treatment, a review literature

Ornelas¹,

Vela²,

Palencia³

2022

Int. J. Appl. Dent. Sci.

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Dental abfractions are non-carious lesions that can complicate their diagnosis and correct treatment due to their characteristics. Objective: A literature review to analyze the etiopathogenic factors, clinical aspect, diagnosis, and treatment of dental abfractions. Methodology: A compilation of articles published in the last 5 years 2017-2022 was carried out using the PubMed electronic database. Abstracts and full texts were identified that included information on the etiopathogenesis, clinical aspect, diagnostic, and treatment. The implementation of the search using operators AND, OR, and NOT. Within the keywords used for the search "abfraction" "etiopathogenesis", "clinical aspect", "diagnostic" and "treatment". Results: Abfractions have a multifactorial origin (diet, mechanical action) which is more associated with occlusal forces. Most abfractions have a cervical crescent shape. Diagnosis depends on knowledge of the etiology, clinical aspect, and clinical history. The difficulty of treatment depends more on the difficulty of having a good marginal seal. Conclusions: According to the literature analyzed, the etiology of the affricative process is the product of inadequately distributed occlusal forces, which are concentrated in the cervical area. The therapeutics of these lesions can range from conservative treatments such as abrasives. However, more studies are needed to see the durability of this type of restoration. Therefore, education is important to avoid this type of injury.

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Section: Clinical Aspectmentioning

confidence: 99%

“…Abfraction is the loss of dental tissue [1] that is independent of the bacterial process [3] . These lesions are very common and frequently require treatment in clinical practice [4] .…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Abfraction: Etiopathogenesis, clinical aspect, diagnosis and treatment, a review literature

Ornelas¹,

Vela²,

Palencia³

2022

Int. J. Appl. Dent. Sci.

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“…Once tooth decay is ruled out as the origin of this condition, other factors involved must be recognized. The multifactorial origin manifests with combinations of distinct processes, including stress (abfraction), mechanical wear (abrasion), and biocorrosion (erosion) [1,3,[9][10][11][12]. Studies indicate that due to noncarious cervical lesions together with dental decay, restoration of permanent teeth is needed [13].…”

Section: Introductionmentioning

confidence: 99%

The link between Noncarious Cervical Lesions (NCCL) and gingival recession. Etiology and treatment. A narrative review.

Lazăr

Makkai

Dako

et al. 2023

Acta Stomatologica Marisiensis Journal

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Noncarious cervical lesions (NCCL) have a multifactorial etiology. The terms abfraction, abrasion, and erosion are also used to describe the same lesion. NCCLs can lead to gum recession which is one of the most frequent gingival defects. NCCLs generally also involve loss of tooth structure. Therefore, treatments should be planned and performed in an interdisciplinary manner. When NCCL is minimal, the choise to use simple direct restorations is the main therapeutic option. If it is serious, microsurgical treatment or, more precisely, interdisciplinary treatment might be necessary. Root coverage by microsurgical methods is the most challenging esthetic procedure. There are many techniques available of which we must always choose the method that can ensure and control root coverage in the long term.

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“…In the specialized literature, there are studies on the morphology, etiology and evolution of NCCLs using various methods of investigation, among which we mention the following: the optical coherence tomography method (OCT) [20][21][22], micro-computed tomography [23,24], and electron microscope examination [25][26][27][28].…”

Section: Introductionmentioning

confidence: 99%

Stereomicroscopic Aspects of Non-Carious Cervical Lesions

Stănuşi

Gîngu

et al. 2023

Diagnostics

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Non-carious cervical lesions (NCCLs) represent a form of tooth wear, characterized by the irreversible loss of dental hard tissues at the enamel–cement junction, without the involvement of caries and dental trauma. The aim of this study was to highlight the morphological elements of NCCLs via their stereomicroscopic examination and to confirm the role of this examination in the diagnosis of early lesions. In addition, the association between the morphological aspects identified during the stereomicroscopic examination of NCCLs and their etiological factors was determined. For this study, extracted teeth with NCCLs were examined with a stereomicroscope. The morphological aspects of NCCLs were evaluated at magnifications up to 75×. In wedge-shaped NCCLs, the stereomicroscopic examination allowed the identification and measurement of scratches, furrows and cracks. In saucer-shaped NCCLs, the stereomicroscopic examination highlighted the smooth appearance of the walls. The presented study highlighted the role of stereomicroscopic examination in the assessment of NCCL morphology and in their early diagnosis. The study confirmed, in particular, the role of occlusal overloads and tooth brushing in determining the morphology of NCCLs.

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Scanning electron microscope characterization of noncarious cervical lesions in human teeth

Cited by 5 publications

References 14 publications

Abfraction: Etiopathogenesis, clinical aspect, diagnosis and treatment, a review literature

Abfraction: Etiopathogenesis, clinical aspect, diagnosis and treatment, a review literature

The link between Noncarious Cervical Lesions (NCCL) and gingival recession. Etiology and treatment. A narrative review.

Stereomicroscopic Aspects of Non-Carious Cervical Lesions

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