Presence of Gingival Recession or Noncarious Cervical Lesions on Teeth under Occlusal Trauma: A Systematic Review

Abstract

The goal of this research was to carry out a systematic review to verify the possible influence of occlusal factors on the occurrence of gingival recession and noncarious cervical lesions. To answer the specific research question—whether gingival recession or noncarious cervical lesions on teeth are present under occlusal trauma—a bibliographic search was conducted at MEDLINE/PubMed, Web of Science, and Gray Literature databases focusing on articles published, following strict inclusion criteria based on randomized clinical trials, controlled clinical studies, and case series, with restricted language (English) and publication date between March 2010 and March 2020, considering patients with occlusal trauma and gingival recession/noncarious cervical injuries. Questionnaires, animal or laboratory studies, case reports, and interviews were excluded. First, the title and/or abstract of the articles obtained were analyzed and, finally, a full-text reading was performed. Given the amount and diversity of the final studies, a qualitative analysis was made. Based on the established criteria, it was possible to obtain an initial 757 articles. After screening, five articles were included, and then qualitative analysis was performed. The results described in the articles were different, given the heterogeneity of the articles subjected to analysis. A few studies were published in the past 10 years, suggesting that the traumatic occlusion seems to be associated with the occurrence of the noncarious cervical lesion while it is not possible to arrive at a conclusion with regard to the association of gingival recession and occlusal trauma. Key Message Even though many professionals have categorically affirmed that there is a relation between trauma occlusal and gingival recession/noncarious cervical lesion, this systematic review found the absence of strong literature to really prove it. Once defined, it allows the therapeutic focus to centre on the causal or contributing factors and preventing or reducing future recurrence.

Modifications of the Dental Hard Tissues in the Cervical Area of Occlusally Overloaded Teeth Identified Using Optical Coherence Tomography

“…The explanation could be given by the presence of premature contacts and occlusal interferences specific to teeth with primary or slightly modified occlusal morphology. The same explanation is given by Troia in 2021 [31] and Chandrathara in 2020 [32].…”

The Influence of Root Prominence on the Onset of Gingival Recession: A Systematic Review

“…GRs increase the incidence of root caries and hypersensitivity, which are related to the onset of non-carious cervical lesions (NCCL) [25]. In addition, teeth being subjected to exacerbated forces (traumatic occlusion) seems to be associated with the occurrence of NCCL.…”

“…In addition, teeth being subjected to exacerbated forces (traumatic occlusion) seems to be associated with the occurrence of NCCL. A systematic study [25] concluded that it was not possible to draw conclusions regarding the relationship between GR and the presence of occlusal trauma. Therefore, patients commonly seek treatment for tooth hypersensitivity or esthetic concerns [26].…”

Evaluation of Abfraction Lesions Restored with Three Dental Materials: A Comparative Study

“…Abfraction lesions are understood as having a multifactorial etiology, and represent an irreversible pathologic damage to the tooth's hard tissue [2,8]. They are localized along dental crowns' labial or buccal cervical zone, especially in premolars and the cervical area of incisors, canines, and molars [9][10][11]. According to El-Marakby et al [12], abfraction lesions are frequent in the population over 40 years of age.…”