Abfraction is a theoretical concept explaining a loss of tooth structure not caused by tooth decay (non-carious cervical lesions). It is suggested that these lesions. Multiple factors are seen as contributing to the development of noncarious cervical lesions (NCCLs). The term abfraction is applied to these lesions in relation to. Evidence supports that abfraction lesions, as any NCCLs, have a multifactorial etiology. Particularly, the cervical wear of abfraction can occur.

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An appliance or night guard can protect the teeth from further wear. The factors related to restorative retention are location of tooth, age of patient and occlusion [ 55 ].

Comparison of efficacy of three different desensitizing agents for in-office relief of dentin hypersensitivity: An elderly patient exhibiting NCCLs in the whole dentition.

This can lead to total tooth loss, after which the only treatment is to replace the lost tooth.

Abfraction lesions: etiology, diagnosis, and treatment options

Issue of hypersensitivity Dentinal hypersensitivity is characterized by short, sharp pain in response to a stimulus. Erosion processes are often associated with the diagnosis of abfraction lesions. The clinical decision to restore abfraction lesions may be based on the need to replace form and function or to relieve hypersensitivity of severely compromised teeth or for esthetic reasons.

Wear facets may be found in the enamel, primary dentin, physiologic secondary dentin, and reparative sclerotic dentin. The value of restorative dentistry to treat NCCLs remains a questionable issue abfratcion dentistry.

Tobacco’s greatest threat to your health may be its abdraction with oral cancer. Oral piercings can also lead to gum recession, which can cause teeth to come loose and fallout. Prosthetic restorations abfractioon be necessary to restore abfraction lesions in teeth that are planned as an abutment for a removable partial denture.


More research is needed to fully clear up the controversy surrounding the abfraction lesion. Review Article Abfracttion Access.

Thus, one must conduct a risk-benefit analysis when considering restorative treatment of abfraction lesions. The interaction between chemical, biological, and behavioral factors is critical and helps to explain why some individuals exhibit more than one type of cervical wear mechanism than others. Yet further studies have shown that these lesions do not always appear in people with bruxism and others without bruxism have these lesions. To find out which treatment is right for you, or for answers to your questions about abfraction, we welcome you to schedule a consultation with Dr.

The American Cancer Society reports that: A critical review of abfracrion cervical wear lesions and the role of abfraction, erosion, and abrasion. If you do not seek treatment for the cause of your abfractions as well as the lesions themselves, the damage abfracction continue.

Visit for more related articles at Dentistry. J Am Dent Assoc. Erosion is the progressive loss of dental hard tissue caused by acids from nonbacterial, intrinsic, or extrinsic sources.

The Causes of Abfraction If you suffer from teeth grinding or malocclusion, you may be at risk of developing abfractions. By recognizing that progressive changes in the cervical area of the tooth are part of a physiologically dynamic process that occurs with aging, premature and unnecessary intervention can be avoided.

The evolution of tooth wear indices. Overview Did you know that smoking tobacco products can make gum disease get worse faster? The different types of cervical lesions in the human population is determined by their biologicalchemical and behavioural factors. It is not intended to be a substitute for professional advice, diagnosis or treatment.

Marked variations exist in dental practice concerning the diagnosis and management of these lesions. As discussed previously, successful prevention and management of abfraction or any NCCLs requires an understanding of the risk factors and how these risk factors change over time in individual patients.


It has been reported that erosion or biocorrosion can also occur lewions the frequent use of acidic mouth rinses. In most cases, there is no complaint from patients with abfraction lesions since lesions are painless and do not affect the esthetics of individual.

Abfraction lesions are more prevalent in the adult age population of 40 years old affecting mainly the premolar teeth.

Preserve Your Smile with Treatment for Dental Abfractions

Non-carious cervical lesions and stress corrosion are the other terms suggested for this process [ 4 ]. Non-carious changes to tooth crowns. The defense mechanisms activated in teeth as a result of wear include the formation of reactionary and reparative dentin and the abfraciton of exposed dentinal tubules by mineral deposits. Int J Periodontics Restorative Dent. NCCL, noncarious cervical lesion. The prevalence of NCCLs is greater in incisors and premolars than in canines and molars.

Please leave this field blank: Baysan A, Lynch E. Reproduced qbfraction John Wiley and Sons. The risk of developing these cancers increases as people smoke or chew more often or for a longer time.

Blackwell Munksgaard Ltd; This article was the first to establish abfraction as a new form of lesion, differing from abrasionattritionand erosion. Thus, one must conduct a risk-benefit analysis when considering restorative treatment of abfraction lesions.

Adenosquamous carcinoma Basaloid squamous carcinoma Mucosal abfravtion Spindle cell carcinoma Squamous cell carcinoma Verrucous carcinoma Oral florid papillomatosis Oral melanosis Smoker’s melanosis Pemphigoid Benign mucous abfractioh Pemphigus Plasmoacanthoma Stomatitis Aphthous Denture-related Herpetic Smokeless tobacco keratosis Submucous fibrosis Ulceration Riga—Fede disease Verruca vulgaris Verruciform xanthoma White sponge nevus.

While only 6 percent of people who quit smoking will develop these secondary cancers.