Noncarious Cervical Lesions: Why on the Facial? A Theory

Sneed, W D

doi:10.1111/j.1708-8240.2011.00457.x

Cited by 15 publications

(16 citation statements)

References 15 publications

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“…Perhaps they are personal factors related to the susceptibility or response capacity of the patient, which is unique to and different for each one. They can be factors related to saliva (pH, saliva flow, buffer capacity), with the level of enamel resistance to biomechanical stress, with the arrangement of the bone around the tooth or with the thickness and organisation of the periodontal ligament fibres . In this study, it was not possible to record most of these variables for technical and economic reasons.…”

Section: Discussionmentioning

confidence: 96%

Non‐carious cervical lesions and risk factors: A case‐control study

Álvarez-Arenal

Alvarez-Menendez

González-González

et al. 2018

J of Oral Rehabilitation

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Summary Objectives To evaluate whether the presence of non‐carious cervical lesions (NCCLs) was related to the considered risk factors and to show the corresponding odds ratio in a predictive model. Methods The sample was 280 dentistry students. In an initial clinical examination, 140 cases were selected that presented one or more teeth with non‐carious cervical wear. For each case, a similar sex and age control without any tooth with non‐carious cervical lesions was selected. An occlusal examination and periodontal probing were performed in all cases and controls by skilled dentists. All the subjects answered a questionnaire referring to factors of brushing, bruxism, preferred chewing side, consumption of extrinsic acids and the presence of intrinsic acids. Data were analysed by means of univariate and multivariate logistic regression. Results Of all the study variables, only the protrusion interferences, interferences on the non‐working side, the brushing force, CPITN value and the consumption of salads increase the risk of NCCLs in the univariate regression. The best predictive model was formed by the combination of CPITN variables >1, the consumption of acidic salads, self‐reported bruxism, brushing force and attrition. However, it only correctly classifies 68.75% of subjects. Conclusions This study supports the multifactorial aetiology of NCCLs, the combination of several factors being necessary to explain their presence. The risk factors that make up the predictive model are not sufficient to explain the appearance of NCCLs. Dentists should take into account all these risk factors in prevention, diagnosis and treatment.

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Section: Discussionmentioning

confidence: 96%

Non‐carious cervical lesions and risk factors: A case‐control study

Álvarez-Arenal

Alvarez-Menendez

González-González

et al. 2018

J of Oral Rehabilitation

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“…). Toothbrushing has been suggested as an aetiological or aggravating factor in their development which seems to be enhanced by the presence of an acidic environment (Sneed ). In vitro studies suggest that these defects are not produced by toothbrushing alone (Mannerberg , Dzakovich & Oslak ) and they have also been identified in non‐toothbrushing populations (Babacar et al.…”

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confidence: 99%

“…Non-carious cervical lesions (NCCLs) are areas of notched enamel and/or dentine that occur predominantly on the buccal and labial surfaces of teeth (Khan et al 1999). Toothbrushing has been suggested as an aetiological or aggravating factor in their development which seems to be enhanced by the presence of an acidic environment (Sneed 2011). In vitro studies suggest that these defects are not produced by toothbrushing alone (Mannerberg 1960, Dzakovich & Oslak 2008 and they have also been identified in non-toothbrushing populations (Babacar et al 2006, Ritter et al 2009).…”

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confidence: 99%

Evidence for the occurrence of gingival recession and non‐carious cervical lesions as a consequence of traumatic toothbrushing

Heasman

Holliday

Bryant

et al. 2015

J Clinic Periodontology

114

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Results: A meta-analysis included 159 subjects and showed that subjects who used MTBs (manual toothbrush) had greater gingival recession after 12 months when compared with those using PTBs (powered toothbrush). Thirteen crosssectional studies identified the most frequent toothbrushing factors associated with gingival recession as being toothbrushing frequency, a horizontal or scrub toothbrushing method, bristle hardness, toothbrushing duration and the frequency of changing a toothbrush. The principal toothbrushing factors associated with NCCLs were toothbrushing method and frequency. Conclusion: The data to support or refute the association between toothbrushing and gingival recession and NCCLs remain largely inconclusive.

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“…Alguns estudos observam lesões apenas na face vestibular 10,14 , sendo que tal fato se deve a pressão e agressão das cerdas da escova durante a higiene bucal, fricção de lábios e bochechas 1,10,14 , e ineficiência do fluxo salivar na região vestibular 12 . A espessura da tábua óssea vestibular é inferior à lingual/palatina; assim, o osso da região palatina desviar a carga lateral para a face oposta (osteoflexão), ocorrendo compressão palatina e tração vestibular 24 .…”

Section: Discussionunclassified

Avaliação de hábitos de higiene bucal, hábitos alimentares e pH salivar em pacientes com ausência e presença de lesões cervicais não cariosas

Figueiredo

Santos

Batista

2013

Rev. odontol. UNESP

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OBJETIVO: Avaliar hábitos de higiene bucal, hábitos alimentares e pH salivar em pacientes com ausência e presença de lesões cervicais não cariosas. MÉTODO: Por meio de um estudo transversal, foram avaliados 88 pacientes, de ambos os sexos, feminino (63,6%) e masculino (36,4%), entre 18 e 71 anos, nos Serviços de Oclusão das cidades de João Pessoa e Campina Grande. Realizaram-se avaliações clínicas, por um único examinador calibrado, para diagnosticar a presença das lesões, a face, os grupos dentários, os hábitos de abrasão e erosão, e o pH Salivar. Utilizaram-se análises descritivas e não paramétricas (Qui-Quadrado, coeficiente ρ de Spearman e teste U de Mann-Whitney), com 5% de nível de significância e 95% de intervalo de confiança. RESULTADO: Verificou-se a prevalência de 65,90% dos pacientes com lesões e o grupo dos pré-molares foi o mais atingido pelas lesões, que estiveram frequentes na face vestibular e na maxila. O gênero não apresentou associação com a presença das lesões, enquanto que a idade foi estatisticamente significante (p<0,001) para a presença destas. O número e a direção de escovação (Fator Abrasivo) e pH Salivar não demonstraram associação com a presença das lesões, enquanto que a frequência do consumo de refrigerantes, de 1 a 7× semanais, apresentou associação positiva. CONCLUSÃO: Os pacientes com alterações oclusais apresentam um elevado número de lesões cervicais não cariosas e a frequência do consumo de refrigerantes representou associação estatística com a presença de lesões.

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Noncarious Cervical Lesions: Why on the Facial? A Theory

Cited by 15 publications

References 15 publications

Non‐carious cervical lesions and risk factors: A case‐control study

Non‐carious cervical lesions and risk factors: A case‐control study

Evidence for the occurrence of gingival recession and non‐carious cervical lesions as a consequence of traumatic toothbrushing

Avaliação de hábitos de higiene bucal, hábitos alimentares e pH salivar em pacientes com ausência e presença de lesões cervicais não cariosas

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