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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Restorative DentistryDental Fillings. Some of the available treatment strategies may be tailored for abfraction lesions and others are used for NCCLs lesiions all etiologies, depending on the patient factors and the severity of the problem. Tooth-colored fillings made of composite resin have proven beneficial in the treatment of abfraction by restoring lost areas of the teeth.

Every clinical appearance of abfraction appears to be dependent on the type and severity of the etiological factors involved [ 7 ]. Troy Office More research is needed to fully clear up the controversy surrounding the abfraction lesion.

Preserve Your Smile with Treatment for Dental Abfractions

The temporary symptom of early st age s of abfraction lesion is dentin hypersentivity. Replacing restorations that do not fit correctly can also help preserve your teeth from damage. The defense mechanisms activated in teeth as a result of wear include the formation of reactionary and reparative dentin and lesion obstruction of exposed dentinal tubules by mineral deposits. Correlation of noncarious cervical lesion size and occlusal wear in a single adult over a year time span.

In addition to a thorough medical history, which should include an evaluation for gastroesophageal reflux disease, eating disorders, and dietary contributors, one should evaluate occlusion, parafunction, and oral habits, including occupational and ritual behaviors.

Int J Periodontics Restorative Dent. However, if the tooth wear negatively involves with the long-term prognosis of the tooth, operative treatment may be required.

Abfraction lesions: etiology, diagnosis, and treatment options

In an era of personalized dentistry, patient risk factors for NCCLs must be identified and addressed before any treatment is performed. In lesipns situations, the clinician has to account for the axial load distribution to avoid excessive occlusal stress on the cervical restoration.


Bruxism is one of the most common causes of dental abfractions. Upon examination, shiny facets on the teeth or existing restorations may be indicators of the presence of erosive processes. Cementicle Cementoblastoma Gigantiform Cementoma Eruption cyst Epulis Pyogenic granuloma Congenital epulis Gingival enlargement Gingival cyst of the adult Gingival cyst of the newborn Gingivitis Desquamative Granulomatous Plasma cell Hereditary gingival leesions Hypercementosis Hypocementosis Linear gingival erythema Necrotizing periodontal diseases Acute necrotizing ulcerative gingivitis Pericoronitis Peri-implantitis Periodontal abscess Periodontal trauma Periodontitis Aggressive As a manifestation of systemic disease Chronic Perio-endo lesion Teething.

Tooth sensitivity may be a temporary symptom associated with early stages of abfraction lesions.

This page was last edited on 13 Julyat Javascript is currently disabled in abfrraction browser. Understanding the physiologically dynamic process of changes noticed in the cervical regions of the tooth due to age related factors, unnecessary restorative interventions wbfraction be avoided [ 38 ].

As with any clinical condition, the diagnosis of abfraction plays a significant role in the proper management of these lesions. J Evid Based Dent Pract. It is not intended to be a substitute for professional advice, diagnosis or xbfraction. The major reasoning behind the controversy is the similarity of abfraction to other non carious lesions and the prevalence of multiple theories to potentially explain the lesion.

Baysan A, Lynch E. Multiple abfraction lesions seen overlapping on one another, observed in Figure 6seem to appear due to various forces producing tensile stress [ 11223 ].

Another important factor deserving attention while planning for the restoration of abfraction lesions is the abfracfion retention. Making sense of sensitivity. Abfraction lesions of different shapes, widths, and depths, characteristic of their different stages of progression. Clinical features of erosive lesions also include broad concavities within smooth tooth enamel, loss of enamel surface anatomy, increase in incisal translucency, and incisal chipping and cupping out of occlusal surfaces with dentine exposure.

Other treatment options include the following: Figure 4 Abfraction lesions of different shapes, widths, and depths, characteristic of their different stages of progression. A predisposition to failure of restorations placed in NCCL area is observed because of the etiology of the lesions.

Dentin bonding agents and varnishes work as temporary sealants of the dentinal tubules. Icon Sprite Social Accounts Sprite. About 37 percent of patients who continue to smoke after cancer treatment will develop second cancers of the mouth, throat or larynx.


A classification of marginal tissue lesikns. In statements such as these there is no comment on whether the lesions occur above abfratcion below the CEJ. Regurgitation is defined as an involuntary process as a complication of gastrointestinal problems, or be patient-induced as in anorexia nervosa or bulimia. The FDA has announced an initiative, targeting retail and online sales of e-cigarettes to minors.

Causes of Abfraction – South Ogden, UT

It is noticed that NCCLs are common in those individuals who grind their teeth as the forces acting are of long term duration and greater quantity [ 1621 ]. Discovering the cause or causes is an important first step to treatment and management. Periodontium gingivaperiodontal ligamentcementumalveolus — Gums and tooth-supporting structures. The prevalence of NCCLs is greater in incisors and premolars than in canines and molars.

A normal, properly aligned bite is less likely to cause abfraction. The interaction between chemicalbiologicaland behavioral factors is critical and helps to explain why some individuals exhibit more than one type of cervical wear mechanism than others. These lesions are multifactorial origin and abvraction many contributing factors which change over time and it is necessary that these potential factors should be evaluated while examining a patient with these lesions.

Examining tooth flexure effects on cervical restorations: This review focuses on the current knowledge and available treatment strategies for abfraction lesions. Abfraction lesios formation in maxillary incisors, canines and premolars: Esthetic and predictable treatment of abfraction lesions.

Abfraction – Wikipedia

To repair a tooth with an abfraction, we can lesioons the lesion just as we would fill a tooth after a cavity. The second school of thought even though do not provides complete explanation, yet provides a significant role of this cervical lesions.

Jena A, Shashirekha G.