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Abfraction is a form of non-carious tooth tissue loss that occurs along the gingival margin. [2] In other words, abfraction is a mechanical loss of tooth structure that is not caused by tooth decay, located along the gum line. There is theoretical evidence to support the concept of abfraction, but little experimental evidence exists. [3]
The aetiology of dental abrasion can be due to a single stimulus or, as in most cases, multi-factorial. [6] The most common cause of dental abrasion is the combination of mechanical and chemical wear. Tooth brushing is the most common cause of dental abrasion, which is found to develop along the gingival margin, due to vigorous brushing in this ...
Abrasion is loss of tooth substance caused by physical means other than teeth. [10] The term is derived from the Latin verb abrasum, which means ‘to scrape off’. [2] It tends to present as rounded ditching around the cervical margins of teeth, commonly described as ‘shallow’, concave or wedge shaped notches. [1]
Non-carious cervical lesions on an incisor belonging to Australopithecus africanus. Arrows show the location of the lesions. Non-carious cervical lesions (NCCLs) are a group of lesions that are characterised by a loss of hard dental tissue at the cementoenamel junction (CEJ) region at the neck of the tooth, without the action of microorganisms or inflammatory processes. [1]
Wedge-shaped cervical lesions are commonly found in association with occlusal erosion and attrition. [9] Tooth wear is typically seen in the elderly and can be referred to as a natural aging process. Attrition, abrasion, erosion or a combination of these factors are the main reasons for tooth wear in elderly people who retain their natural teeth.
Evidence of abfraction may be shown by wedge shaped defects that are developed at the cervical region of the teeth known as abfraction lesions. There is no direct relationship between abfraction lesions and diet, periodontal disease or abrasion. [12]
Abfraction is the loss of tooth structure from flexural forces. As teeth flex under pressure, the arrangement of teeth touching each other, known as occlusion, causes tension on one side of the tooth and compression on the other side of the tooth. This is believed to cause V-shaped depressions on the side under tension and C-shaped depressions ...
A disadvantage of this was that it required multiple visits over a prolonged time and there could be an increased risk of cervical root fracture due to an increase in exposure to calcium hydroxide. The apical barrier technique with mineral trioxide aggregate was then used. The advantage of this technique over apexification was that it shortened ...