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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Severe tooth wear of abfraccjones lower teeth in a bulimic person. Lower anterior teeth showing cupping out of incisal edges due to erosion. 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: Intrinsic dental erosion, also known as perimolysis, is the process whereby gastric acid from the stomach comes into contact with the teeth.

Aside from restoring the lesion, it is equally important to remove abfraccioes other possible causative factors. Temporomandibular jointsmuscles of mastication and malocclusions — Jaw joints, chewing muscles and bite abnormalities Bruxism Abfrcaciones resorption Mandibular dislocation Malocclusion Crossbite Open bite Overbite Overeruption Overjet Prognathia Retrognathia Scissor bite Maxillary hypoplasia Temporomandibular joint dysfunction.

Subsequently, controlling or preventing the loss of tooth structure may be difficult.

3-STEP Technique, a simplified protocol for ADDITIVE adhesive rehabilitations

Yet further studies have shown that these lesions do not always appear in people with bruxism abfraccjones others without bruxism have these lesions.

Erosion caused by vomiting typically affects the palatal inner surfaces of the upper teeth but can be due to dietary acids as well. Acidic environments for work or leisure may expose patients to factors which cause tooth surface loss. Author information Copyright and License information Disclaimer.


A diet sheet is useful to determine the intake frequency of acidic food and beverages. Erosion The progressive loss of hard dental tissues by chemical process detales involving bacterial action 8.


The pathologic loss of hard tooth substance caused by biomechanical loading forces. One theory suggests that the abfraction lesions will only form above the CEJ. Terms such as erosion, abrasion, attrition 3 and abfraction have traditionally been used to describe pathological loss of tooth tissue, reflecting some aetiological factors associated with such occurrences. Journal of Oral Rehabilitation. Based on the optical changes induced in eroded tissue by the lesions, in Koshoji et al.

Lesions are most commonly found on the palatal surfaces of the teeth, followed by the occlusal and then the buccal surfaces.

Regurgitation may be an involuntary occurrence as a complication of gastrointestinal problems, or be voluntary or patient-induced as in anorexia nervosa or bulimia.

The term abfraction was first published in in a journal article dedicated to distinguishing the abfraciones. Archived from the abfrwcciones on Abfraction is a form of non-carious tooth tissue loss that occurs along the gingival margin. Extra-oral examination may reveal facial signs of alcoholism such as facial flushing and spider angiomas and enlarged parotid glands which can also be an indicator of autoimmune disease or anorexia.

The role of erosion in tooth wear: Table 2 Causes of erosive lesions. Erosion is generally considered to be the most prevalent cause of tooth wear in the UK 4 and Europe 5. It is a normal physiological process and occurs throughout life but is considered pathological when the degree of destruction is excessive or the rate of loss is rapid, causing functional, aesthetic or sensitivity problems.

Amalgam restorations in the mouth may be clean and non-tarnished. A follow-up study of 18 subjects with extensively worn dentitions”.

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Dental Erosion and Medical Conditions An Overview of Aetiology, Diagnosis and Management

Retrieved from ” https: Do adhesive resins protect dentine from erosion by acids? External resorption Internal resorption Irreversible pulpitis Reversible pulpitis Pulp necrosis Pink tooth of Mummery. Please review our privacy policy. This phenomenon is demonstrated in the LASCA maps which show the greater prevalence of dark blue on the right side, indicating sound tissue, and lower prevalence on the left side, indicating eroded tissue.

Acid erosion

A thorough examination is needed both extra-orally and intra-orally. 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.

Management The provision of restorative dental care requires a multi-disciplinary approach and may encompass treatment ranging from simple restorations to comprehensive full mouth rehabilitation.

A Systematic Review of Literature”. Reduced salivary flow rate, a common symptom of bulimia, predisposes an individual to dental erosion due to increased vulnerability to the effects of acidic food and drinks. In statements such as these there is no comment on whether the lesions occur above or below the CEJ.

Table 3 shows the acidity of some common foods and beverages. Some of these causes may point to underlying medical conditions which may be elucidated during history taking and clinical examination. The description of the dental restorative management is outside the scope of this article.