Dental 'erosion' revisited

Area of Science:

• Dental science
• Biomaterials science
• Clinical dentistry

Background:

• The term "erosion" in dentistry is inaccurate and misleading for cervical lesions.
• Occlusal function and parafunction are significant etiological factors in these lesions.
• Current understanding necessitates a re-evaluation of dental hard tissue lesion terminology.

Purpose of the Study:

• To critically analyze the current terminology of dental hard tissue lesions.
• To highlight the role of occlusal forces in the development of cervical lesions.
• To propose a revised nomenclature and classification system for dental hard tissue lesions.

Main Methods:

• Literature review and critical analysis of existing terminology.
• Correlation of occlusal function and parafunction with cervical lesion etiology.
• Development of a new classification system based on multifactorial etiology.

Main Results:

• The term "erosion" is identified as a misnomer for specific dental lesions.
• Occlusal function and parafunction are confirmed as critical factors in multifactorial etiology.
• A new nomenclature and classification for dental hard tissue lesions are proposed.

Conclusions:

• The current term "erosion" should be reconsidered in clinical and scientific contexts.
• A revised nomenclature and classification will enhance diagnostic accuracy and treatment planning.
• Understanding the multifactorial etiology, including occlusal factors, is crucial for managing cervical lesions.