A Critical Review of Non-carious Cervical (Wear) Lesions and the Role of Abfraction, Erosion, and Abrasion

The terms ‘abfraction’ and ‘abrasion’ describe the cause of lesions found along the cervical margins of teeth. Erosion, abrasion, and attrition have all been associated with their formation. Early research suggested that the cause of the V-shaped lesion was excessive horizontal toothbrushing. Abfrac...

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Bibliographic Details
Published inJournal of Dental Research Vol. 85; no. 4; pp. 306 - 312
Main Authors Bartlett, D.W., Shah, P.
Format Book Review Journal Article
LanguageEnglish
Published United States SAGE Publications 01.04.2006
SAGE PUBLICATIONS, INC
Subjects
Dental Enamel - physiopathology
Dental Stress Analysis
Humans
Tooth Abrasion - etiology
Tooth Abrasion - physiopathology
Tooth Attrition - etiology
Tooth Attrition - physiopathology
Tooth Cervix - physiopathology
Tooth Erosion - etiology
Tooth Erosion - physiopathology
Toothbrushing - adverse effects
Toothpastes - adverse effects
erosion
attrition
abrasion
tooth wear
abfraction
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Summary:The terms ‘abfraction’ and ‘abrasion’ describe the cause of lesions found along the cervical margins of teeth. Erosion, abrasion, and attrition have all been associated with their formation. Early research suggested that the cause of the V-shaped lesion was excessive horizontal toothbrushing. Abfraction is another possible etiology and involves occlusal stress, producing cervical cracks that predispose the surface to erosion and abrasion. This article critically reviews the literature on abrasion, erosion, and abrasion, and abfraction. The references were obtained by a MEDLINE search in March, 2005, and from this, hand searches were undertaken. From the literature, there is little evidence, apart from laboratory studies, to indicate that abfraction exists other than as a hypothetical component of cervical wear.
ISSN:0022-0345
1544-0591
DOI:10.1177/154405910608500405