el 81% de los pacientes con edades comprendidas entre 45 a 59 años presentaban abfracciones, EDAD se asocia significativamente con las. DENTALES. abfraction la abfracción abrasive elabrasivo abrasion of teeth abscess abutment acid acidulated phosphate fluoride acrylic appliance active caries. Tooth wear or tooth surface loss is a normal physiological process and occurs throughout life but is considered pathological when the degree of.

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Other Eagle syndrome Hemifacial hypertrophy Facial hemiatrophy Oral manifestations of systemic disease. Retrieved from ” https: Clinical photographs lead to comparable results to a visual examination, however both dentaoes result in an underestimation of the extent of tooth wear.

Acid erosion

Carbonated drink, such as colas and lemonades are also very acidic and hence have significant erosive potential. Nasopalatine duct Median mandibular Median palatal Traumatic bone Osteoma Osteomyelitis Osteonecrosis Bisphosphonate-associated Neuralgia-inducing cavitational osteonecrosis Osteoradionecrosis Osteoporotic bone marrow defect Paget’s disease of bone Periapical abscess Phoenix abscess Periapical periodontitis Stafne defect Torus mandibularis.

Type of erosion Causative factors Regurgitation intrinsic erosion Regurgitation may abffracciones an involuntary occurrence as a complication of gastrointestinal problems, or be voluntary abfraciones patient-induced as in anorexia nervosa or bulimia.

This abfraccjones is due to the enamel having been eroded away, exposing dentaless sensitive dentin. Archived from the original PDF on Journal of Dental Research. Temporomandibular jointsmuscles of mastication and malocclusions — Jaw joints, chewing muscles and bite abnormalities Bruxism Condylar resorption Mandibular dislocation Malocclusion Crossbite Open bite Overbite Overeruption Overjet Prognathia Retrognathia Scissor bite Maxillary hypoplasia Temporomandibular joint dysfunction.

As abfraction is still a controversial theory there are various ideas on what causes the lesions. As tooth substance around restorations erodes away, fillings may also appear to be rising out of the tooth. Journal of Clinical and Diagnostic Research: To differentiate the sound and eroded tissues, contrast analysis was performed of the speckle patterns in the images.

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Management includes monitoring and prevention and it is necessary to establish a diagnosis, but even if a definitive diagnosis is not clear initially, general preventive suggestions can be made such as: Lower abfrwcciones teeth showing cupping out of incisal edges due to erosion. P 13 March External resorption Internal resorption Irreversible pulpitis Reversible pulpitis Pulp necrosis Pink tooth of Mummery.


Examples include fruit juicessuch as apple and orange juices, sports drinks, wine and beer. Drinks vary in their resistance to the buffering effect of saliva.

Abfraction is a theoretical concept explaining a loss of tooth structure not caused by tooth decay non-carious cervical lesions. The role of erosion in tooth wear: It is also important to ask if grinding or bruxism sounds are heard by bed partner, if there is masticatory or facial muscle fatigue or pain in the mornings and if the patient ever used a mouthguard dehtales occlusal denhales. Do adhesive resins protect dentine from erosion by acids? It is important to note that studies supporting this configuration of abfraction lesions also state that when there is more than one abnormally large tensile stress on a tooth two or more abfraction lesions can result on the one surface.

Abfraction – Wikipedia

Although the loss caused by each of the above factors has a distinctive appearance, tooth wear rarely occurs from a single cause 4. Teeth pulpdentinenamel. Periodontium gingivaperiodontal ligamentcementumalveolus — Gums and tooth-supporting structures.

Identifying the etiology of erosion is significant; if the patient consumes excessive dietary intake of acidic foods or beverages, then education and counseling is recommended. Abfraction The pathologic loss of hard abfracckones substance caused by biomechanical loading forces. It is suggested that these lesions are caused by forces placed on the teeth abcracciones biting, eating, chewing and grinding; the enamelespecially at the cementoenamel junction CEJundergoes large amounts of stress, causing micro fractures and tooth tissue loss.

Self-induced vomiting increases the risk of dental erosion by a factor of 5. Pulpitis Radicular cyst Periapical abscess. Views Read Edit View history. Dietary erosion is due to food or drink containing a variety of acids such as from citrus and other fruits, fruit juices citric acidsoft drinks, wine and other carbonated drinks carbonic acid and other acidspickles, vinegar dressings and preserves acetic acid. A new scoring system referred to as Basic Erosive Wear Examination BEWE grades the appearance or severity of wear on the teeth by the extent of hard tissue loss.


In the anterior teeth, there is increased incisal translucency, incisal chipping and, in moderate to severe cases, cupping out of the incisal edges Figs.

Studies show that fruit juices are the most resistant to saliva’s buffering effect, followed by, in order: Orofacial soft tissues — Soft tissues around the mouth Actinomycosis Abvracciones Basal cell carcinoma Cutaneous sinus of dental origin Cystic hygroma Gnathophyma Ludwig’s angina Macrostomia Melkersson—Rosenthal syndrome Microstomia Noma Oral Crohn’s disease Orofacial granulomatosis Perioral dermatitis Pyostomatitis vegetans.

The aetiology denfales tooth wear is attributed to four causes: It is usually recommended when an abfraction lesion is less than 1 millimeter, monitoring at regular intervals is a sufficient treatment option.

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If teeth come together in a non-ideal bite abfraccions researchers state that this would create further stress in areas on the teeth. Retrieved from ” https: Table 3 shows the acidity of some common foods and beverages. Regurgitation erosion refers to tooth wear caused by the regurgitation of hydrochloric acid from the stomach. Environmental extrinsic erosion Acidic environments for work or leisure may expose patients to factors which cause tooth surface loss.

Adapted from Kelleher and Bishop; Table 4 Factors that reduce the flow of saliva. Copyright Material printed in the West Indian Medical Journal is covered by copyright and may not be reproduced in whole or in part without the written permission of the Editor. It is defined as the irreversible loss of tooth structure due to chemical dissolution by acids not of bacterial origin.