Abfraction: Etiopathogenesis, clinical aspect, and diagnostic-treatment modalities: A review

Badavannavar, Anand; Ajari, Sneha; Nayak, U S Krishna; Khijmatgar, Shahnawaz

doi:10.4103/ijdr.ijdr_863_18

Cited by 24 publications

(24 citation statements)

References 3 publications

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“…Abfractions are considered to have a multifactorial origin [8] and are characterized by the microstructural loss of hard dental tissue in areas of high-stress concentration [9] . One of the first theories is that the pathological loss of the structure of dental tissue [1] is caused by forces of paraxial biomechanics [10] , which maintains that dental flexion in the cervical area is caused by occlusal compressive forces and traction stresses, having as an effect microfractures of the hydroxyapatite crystals of the enamel and dentin with greater fatigue and deformation of the dental structure [11] which it causes tooth enamel, dentin, and dental pulp to move away from the force application site [4] . It is also said that this type of injury is facilitated by the thin structure of the enamel and the low packing density of the Hunter-Schreger band in the cervical area [12] .…”

Section: Etiopathogenesismentioning

confidence: 99%

“…A careful and complete history is crucial to establish a diagnosis [1] . Any systematic pathology should be analyzed, such as gastroesophageal reflux disease, eating disorders, dietary habits [24] , and parafunctional habits (bruxism, finger sucking, etc.).…”

Section: Diagnosismentioning

confidence: 99%

“…The clinical manifestations of these lesions are that they are saucer-shaped with blunt angles and wider contours when exposed to these contributing factors [25] . An additional distinguishing feature for diagnosis is that these lesions may appear deeper than wide depending on the stage of progression and related etiologic factors [1] . A clinical history in which the patient informs us of all the diseases that he/she has, as well as knowing all the clinical characteristics of the abfractions, allows an adequate and precise diagnosis to be made.…”

Section: Diagnosismentioning

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%

“…These lesions are very common and frequently require treatment in clinical practice [4] . These lesions occur in the cervical area of the tooth, in the literature they are described as non-carious lesions linked to the loss of structure in the cement-enamel junction [1] , they have a high incidence and significant prevalence and are associated with different lifestyles of the patients. people, such as stress, clenching, and grinding teeth [2] .…”

Section: Introductionmentioning

confidence: 99%

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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: Etiopathogenesismentioning

confidence: 99%

Section: Diagnosismentioning

confidence: 99%

Section: Diagnosismentioning

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 3 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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Abfraction Theory: Controversy Analysis, Scoping Review

Dioguardi,

Spirito,

Iacovelli

et al. 2024

Curr Oral Health Rep

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Purpose of review The aim of this review was to describe in detail the aetiological events involved in the abfraction phenomenon, examining the action of irregular occlusal forces, analysing the evidence supporting this aetiological hypothesis, and highlighting the controversies surrounding this theory. Recent findings Noncarious cervical lesions (NCCLs) are the result of two widely accepted pathological mechanisms: erosion and abrasion. These lesions generally affect adults after the age of 30, and approximately 10–40% of adults in this age bracket have this condition. Premolars are the primary teeth affected by NCCLs. Characteristic symptoms include progressive and ongoing loss of mineralized tissue, primarily on the buccal surfaces of collars. As the dentine is exposed, the tooth becomes increasingly sensitive. Over time, the lesion tends to deepen towards the dental pulp, and the dental crown or pulpitis may fracture. Both abrasion and erosion alone cannot fully explain all types of NCCLs. For some lesions, this difference appears to be related to an aetiopathological mechanism defined as abfraction, which combines the aetiological events of erosion and abrasion with the application of irregular occlusal loads along the occlusal surfaces of dental crowns. This study was conducted by following the PRISMA protocol guidelines for scoping reviews, and the protocol was registered on INPLASY prior to execution. The studies were identified through literature searches in the PubMed and Scopus databases using the following keywords: "abfraction" and "NCCL". The risk of bias was assessed using ROBINS-I. Summary The search led to the inclusion of only 6 studies out of a total of 1449 identified articles. The analysis of these studies, which correlated the progression of NCCLs to the forces applied to the teeth, did not provide sufficient evidence to confirm or refute the aetiological role of occlusal loads in the onset of abfractions. However, clues emerged that would require further confirmation through prospective longitudinal studies, which must consider the inclusion of other aetiological mechanisms, such as abrasion and erosion.

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Are bodybuilding and cross‐training practices dangerous for promoting orofacial injuries? A scoping review

de Bessa,

Jácome,

Tanus

et al. 2024

Dental Traumatology

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Bodybuilding and cross‐training exercises bring health benefits. However, orofacial injuries can occur during practice. This study aimed to map, analyze, interpret, and synthesize data from studies on the main orofacial injuries resulting from bodybuilding and cross‐training practices. This scoping review followed the Joanna Briggs Institute and PRISMA‐ScR methods, with high‐sensitivity searches in PubMed, Web of Science, Scopus, ScienceDirect, Embase, Virtual Health Library and the Google Scholar. Original scientific articles published up to May 2024 were included, which evaluated the presence of self‐reported or professionally diagnosed orofacial injuries by bodybuilding and cross‐training practitioners aged 18 years or older. Literature reviews, editorials, and guidelines were excluded. Tables and figures were used to map and summarize the results. Out of 30.485 potentially eligible articles, four were included. The main orofacial injuries identified in both bodybuilding and cross‐training practitioners were dental damage (n = 4), temporomandibular joint (TMJ) disorders (n = 3), and traumas to oral soft tissues (n = 2) and facial soft tissues (n = 2). Dental damage and TMJ disorders were the most prevalent conditions among bodybuilding and cross‐training practitioners. Therefore, dental damage and TMJ disorders were the most prevalent conditions among bodybuilding and cross‐training practitioners. However, further prospective studies with more in‐depth methodological designs and fewer biases are necessary.

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Abfraction: Etiopathogenesis, clinical aspect, and diagnostic-treatment modalities: A review

Cited by 24 publications

References 3 publications

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

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

Abfraction Theory: Controversy Analysis, Scoping Review

Are bodybuilding and cross‐training practices dangerous for promoting orofacial injuries? A scoping review

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