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Tooth wear is predominantly the result of a combination of three processes; attrition, abrasion and erosion. [3] These forms of tooth wear can further lead to a condition known as abfraction , [ 3 ] where by tooth tissue is 'fractured' due to stress lesions caused by extrinsic forces on the enamel.
Thus, if erosion and bruxism both exist, surface loss due to attrition is faster. Severe attrition in young patients is usually associated with erosive factors in their diets. [7] The different physiological processes of tooth wear (abrasion, attrition and erosion) usually occur simultaneously and rarely work individually.
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 ...
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 are caused by forces placed on the teeth during biting, eating, chewing and grinding; the enamel , especially at the cementoenamel junction (CEJ), undergoes large amounts of stress ...
Acid erosion is a type of tooth wear.It is defined as the irreversible loss of tooth structure due to chemical dissolution by acids not of bacterial origin. [1] Dental erosion is the most common chronic condition of children ages 5–17, [2] although it is only relatively recently that it has been recognised as a dental health problem. [3]
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]
Headaches, particularly pain in the temples, [5] caused by muscle pain associated with the temporalis muscle. Excessive tooth wear, [ 12 ] particularly attrition , which flattens the occlusal (biting) surface, but also possibly other types of tooth wear such as abfraction , where notches form around the neck of the teeth at the gumline.
Internal resorption is defined by the loss of intraradicular dentin and tubular dentin from within the middle and apical thirds of the root canal(s). It may also present as an incidental, radiographic finding. Radiographically, a radiolucent area of uniform density within the root canal may be visible with well-defined borders.