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Toothbrush abrasions and noncarious cervical lesions: evolving concepts
Luis A Litonjua1, Sebastiano Andreana, Robert E Cohen
1Department of Periodontics and Endodontics, School of Dental Medicine, State University of New York at Buffalo, NY, USA.
Compendium of Continuing Education in Dentistry (Jamesburg, N.J. : 1995)
|November 23, 2005
Summary
Toothbrush abrasion causing cervical lesions is multifactorial, not due to a single cause. Factors like brushing technique, erosion, and individual susceptibility interact to create these noncarious cervical lesions.
Area of Science:
- Dentistry
- Dental Research
Background:
- Toothbrush abrasion at the cervical areas of teeth is commonly attributed to factors like brushing force, technique, and abrasive toothpaste.
- Existing literature lacks conclusive evidence identifying a single primary cause for cervical abrasions.
Purpose of the Study:
- To review the evidence-based literature on the etiology of toothbrush abrasion and noncarious cervical lesions.
- To explore the multifactorial nature of noncarious cervical lesions.
Main Methods:
- A comprehensive review of existing evidence-based literature was conducted.
- Analysis focused on identifying etiological factors and their interactions.
Main Results:
- No single factor conclusively explains cervical abrasions due to methodological limitations and conflicting results.
- Toothbrushing factors likely interact with dental erosion and occlusal loading.
- Individual variations in oral anatomy and periodontal status influence lesion susceptibility and progression.
Conclusions:
- Noncarious cervical lesions result from a multifactorial etiology, involving toothbrushing habits, dental erosion, occlusal forces, and individual patient factors.
- Further research is necessary to elucidate the complex interactions contributing to lesion development.
- Clinicians should consider this multifactorial etiology when planning patient treatment.