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Gomes RR, Zeola LF, Barbosa TAQ, Fernandes Neto AJ, de Araujo Almeida G, Soares PV. Prevalence of non-carious cervical lesions and orthodontic treatment: a retrospective study. Prog Orthod 2022; 23:17. [PMID: 35570252 PMCID: PMC9108122 DOI: 10.1186/s40510-022-00409-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2021] [Accepted: 04/05/2022] [Indexed: 11/10/2022] Open
Abstract
Background This study aimed to assess the distribution of non-carious cervical lesions (NCCLs) by tooth type, investigate the prevalence of NCCLs in patients undergoing orthodontic treatment, and identify the possible associated factors. Material and methods A total of 160 patients were enrolled in this retrospective study. Data on the following variables were collected from pre-and post-orthodontic treatment records: age, sex, Angle’s malocclusion, facial pattern, number of activation sessions, compensatory treatment, and retreatment. Frontal, right and left lateral intraoral photographs of each patient were evaluated to identify the presence or absence of NCCLs in each tooth and assess the distribution of NCCLs in the 3840 teeth from the enrolled patients. Furthermore, patients were classified as NCCLs present, irrespective of the number of NCCLs on the teeth or NCCL absent. Bivariate and multivariate Poisson regression analyses with robust variance were used to assess the association between the NCCLs and each independent variable. Prevalence ratio and 95% confidence intervals were calculated and p < 0.05 was considered statistically significant. Results The prevalence of NCCLs before and after orthodontic treatment was 22.71% and 30.91%, respectively. Premolars were the most affected teeth, followed by the first molars, canines, and incisors. After statistical analysis, age was found to be the variable factor that influenced the prevalence ratio, with NCCL being the most prevalent when orthodontic treatment was performed in adulthood. Conclusions Premolars were most commonly affected by NCCLs. Furthermore, age seemed to contribute to the increased prevalence of NCCLs in adults undergoing orthodontic treatment.
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Teixeira DNR, Thomas RZ, Soares PV, Cune MS, Gresnigt MM, Slot DE. Prevalence of noncarious cervical lesions among adults: A systematic review. J Dent 2020; 95:103285. [DOI: 10.1016/j.jdent.2020.103285] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2019] [Revised: 12/02/2019] [Accepted: 01/29/2020] [Indexed: 12/17/2022] Open
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Affiliation(s)
- Euloir Passanezi
- Division of PeriodonticsSchool of Dentistry at BauruUniversity of São Paulo Bauru Brazil
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Zuza A, Racic M, Ivkovic N, Krunic J, Stojanovic N, Bozovic D, Bankovic-Lazarevic D, Vujaskovic M. Prevalence of non-carious cervical lesions among the general population of the Republic of Srpska, Bosnia and Herzegovina. Int Dent J 2019; 69:281-288. [PMID: 30730056 DOI: 10.1111/idj.12462] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
Abstract
INTRODUCTION As non-carious cervical lesions (NCCLs) may compromise aesthetics and function, knowledge of their aetiological covariables enhances management of clinical complaints and success of restorative treatments. AIMS The primary aim of this study was to assess the presence of NCCLs among the general population of the Republic of Srpska, Bosnia and Herzegovina and the potential association with patient-related risk factors. METHODS A prevalence study of NCCLs included 738 respondents from eight towns/municipalities. Two dental practitioners examined all respondents. NCCLs were diagnosed according to the Smith and Knight tooth wear index, measured using a Williams periodontal probe. Data regarding risk factors were obtained through a structured questionnaire. Multivariate logistic regression was used to analyse the association of risk factors and the occurrence of NCCLs. RESULTS Non-carious cervical lesions were diagnosed in 384 (52%) respondents. Multivariate regression analysis showed that several variables were independently associated with the risk of developing NCCLs, including frequent consumption of acid food (P = 0.001), frequent consumption of acid drinks (P = 0.001), retaining drink in the mouth (P = 0.001), alcohol consumption (P = 0.030), bruxism (P = 0.018) and gastro-oesophageal reflux (P = 0.023). First mandibular premolars were the most affected teeth (left: 46.0%; right: 44.0%), followed by the second right maxillary premolars (37.3%), second left maxillary premolars (33.6%) and finally by the first right maxillary premolars (34.0%). CONCLUSION The results of the current study suggest that NCCLs occur frequently and have a multifactorial aetiology. The lowest prevalence was recorded among individuals younger than 20 years of age. As the majority of risk factors are modifiable, regular dental care could lead to the early detection of NCCLs.
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Affiliation(s)
- Aleksandra Zuza
- Department of Dental Pathology, Faculty of Medicine in Foca, University of East Sarajevo, Foca, Republic of Srpska, Bosnia and Herzegovina
| | - Maja Racic
- Department of Primary Health Care and Public Health, Faculty of Medicine in Foca, University of East Sarajevo, Foca, Republic of Srpska, Bosnia and Herzegovina
| | - Nedeljka Ivkovic
- Department of Oral Rehabilitation, Faculty of Medicine in Foca, University of East Sarajevo, Foca, Republic of Srpska, Bosnia and Herzegovina
| | - Jelena Krunic
- Department of Dental Pathology, Faculty of Medicine in Foca, University of East Sarajevo, Foca, Republic of Srpska, Bosnia and Herzegovina
| | - Nikola Stojanovic
- Department of Dental Pathology, Faculty of Medicine in Foca, University of East Sarajevo, Foca, Republic of Srpska, Bosnia and Herzegovina
| | - Djordje Bozovic
- Department of Oral Rehabilitation, Faculty of Medicine in Foca, University of East Sarajevo, Foca, Republic of Srpska, Bosnia and Herzegovina
| | - Dusica Bankovic-Lazarevic
- Institute of Public Health "Dr Milan Jovanović Batut", Belgrade, Serbia.,Faculty of Dentistry Pančevo, Pančevo, Serbia
| | - Mirjana Vujaskovic
- Department of Restaurative Dentistry and Endodontics, Faculty of Dentistry Belgrade, University of Belgrade, Belgrade, Serbia
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Alvarez-Arenal A, Alvarez-Menendez L, Gonzalez-Gonzalez I, Jiménez-Castellanos E, Garcia-Gonzalez M, deLlanos-Lanchares H. The Role of Occlusal Factors in the Presence of Noncarious Cervical Lesions in Young People: A Case-Control Study. Oper Dent 2019; 44:E12-E22. [DOI: 10.2341/18-028-c] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
SUMMARY
Objective:
The aim of this retrospective case-control study was to evaluate the influence of different occlusal characteristics and self-referred bruxism in the presence of noncarious cervical lesions (NCCLs).
Methods and Materials:
The participants were 280 students (140 cases and 140 controls), with an average age of 24.5 years, from six schools of dentistry in Spain. Clinical examination was carried out to record the NCCLs and the static and dynamic occlusal characteristics. The side of mastication and bruxism was collected by questionnaire. Data variables were analyzed by means of univariate and multivariate logistic regression. Odds ratios and the respective 95% confidence intervals were calculated (p<0.05).
Results:
The presence of NCCLs was significantly more likely in subjects with protrusive interferences (odds ratio [OR]=1.82); with lateral interferences, especially on the nonworking side (OR= 1.77); or who were self-reported bruxists (OR=1.72). In the multivariate analysis, protrusive interferences, bruxism, age, and the presence of attrition were risk factors for the development of NCCLs. These factors resulted in a model with an area under the receiver-operating characteristic curve of 0.667 and a positive predictive value of 61.43%.
Conclusions:
There was no significant relationship between most occlusal factors and the presence of NCCLs. Only bruxism, protrusive interferences, age, and occlusal wear were risk factors. The predictive model was not sufficiently explanatory. Occlusal factors alone do not appear to be sufficient to explain the presence of NCCLs.
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Affiliation(s)
- A Alvarez-Arenal
- Angel Alvarez-Arenal, MD, DDS, PhD, professor and chairman, Department of Prosthodontics and Occlusion, School of Dentistry, University of Oviedo, Oviedo, Spain
| | - L Alvarez-Menendez
- Leticia Alvarez-Menendez, MD, PhD, collaborator, Lucus Augusti Hospital, Lugo, Spain
| | - I Gonzalez-Gonzalez
- Ignacio Gonzalez-Gonzalez, MD, DDS, PhD, associate professor, Department of Prosthodontics and Occlusion, School of Dentistry, University of Oviedo, Oviedo, Spain
| | - E Jiménez-Castellanos
- Emilio Jiménez-Castellanos, MD, DDS, PhD, professor, Department of Prosthodontics, School of Dentistry, University of Seville, Seville, Spain
| | - M Garcia-Gonzalez
- Marta Garcia-Gonzalez, DDS, collaborator, Department of Prosthodontics and Occlusion, School of Dentistry, University of Oviedo, Oviedo, Spain
| | - H deLlanos-Lanchares
- Hector deLlanos-Lanchares, DDS, PhD, associate professor, Department of Prosthodontics and Occlusion, School of Dentistry, University of Oviedo, Oviedo, Spain
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Alvarez-Arenal A, Alvarez-Menendez L, Gonzalez-Gonzalez I, Alvarez-Riesgo JA, Brizuela-Velasco A, deLlanos-Lanchares H. Non-carious cervical lesions and risk factors: A case-control study. J Oral Rehabil 2018; 46:65-75. [PMID: 30252966 DOI: 10.1111/joor.12721] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2018] [Revised: 09/19/2018] [Accepted: 09/20/2018] [Indexed: 11/28/2022]
Abstract
OBJECTIVES To evaluate whether the presence of non-carious cervical lesions (NCCLs) was related to the considered risk factors and to show the corresponding odds ratio in a predictive model. METHODS The sample was 280 dentistry students. In an initial clinical examination, 140 cases were selected that presented one or more teeth with non-carious cervical wear. For each case, a similar sex and age control without any tooth with non-carious cervical lesions was selected. An occlusal examination and periodontal probing were performed in all cases and controls by skilled dentists. All the subjects answered a questionnaire referring to factors of brushing, bruxism, preferred chewing side, consumption of extrinsic acids and the presence of intrinsic acids. Data were analysed by means of univariate and multivariate logistic regression. RESULTS Of all the study variables, only the protrusion interferences, interferences on the non-working side, the brushing force, CPITN value and the consumption of salads increase the risk of NCCLs in the univariate regression. The best predictive model was formed by the combination of CPITN variables >1, the consumption of acidic salads, self-reported bruxism, brushing force and attrition. However, it only correctly classifies 68.75% of subjects. CONCLUSIONS This study supports the multifactorial aetiology of NCCLs, the combination of several factors being necessary to explain their presence. The risk factors that make up the predictive model are not sufficient to explain the appearance of NCCLs. Dentists should take into account all these risk factors in prevention, diagnosis and treatment.
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Affiliation(s)
- Angel Alvarez-Arenal
- Department of Prosthodontics and Occlusion, School of Dentistry, University of Oviedo, Oviedo, Spain
| | | | - Ignacio Gonzalez-Gonzalez
- Department of Prosthodontics and Occlusion, School of Dentistry, University of Oviedo, Oviedo, Spain
| | | | | | - Hector deLlanos-Lanchares
- Department of Prosthodontics and Occlusion, School of Dentistry, University of Oviedo, Oviedo, Spain
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Modanese D, Canevese VA, Alessandretti R, Oro Spazzin A, Borges Radaelli MT. Lesões cervicais não-cariosas de abfração: prevalência e relação com bruxismo do sono. JOURNAL OF ORAL INVESTIGATIONS 2018. [DOI: 10.18256/2238-510x.2018.v7i1.2675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
As lesões cervicais não cariosas (LCNCs) são caracterizadas pela perda da estrutura dentária localizada na região próxima a junção cemento-esmalte. O bruxismo do sono é uma parafunção caracterizada pelo contato não-funcional dos dentes durante o sono, manifestada pelo apertar ou ranger dos mesmos. Considerando que uma das possíveis etiologias das LCNCs é a sobrecarga oclusal, torna-se importante a compreensão da relação entre a prevalência destas lesões e os fatores de sobrecarga presentes no meio oral. Objetivo: Avaliar a prevalência de LCNCs do tipo abfração e sua relação com o diagnóstico positivo de bruxismo do sono em uma amostra de pacientes da IMED e CEOM. Metodologia: Este foi um estudo clínico do tipo transversal, onde foi realizada avaliação observacional em uma amostra de 25 pacientes de ambos os sexos, com idade entre 20 e 62 anos. O diagnóstico de bruxismo do sono foi realizado através de um questionário e exame clínico intra-oral. O diagnóstico de abfração foi realizado por meio de exame clínico intra-bucal com auxílio de sonda exploradora e milimetrada. Foram utilizados o teste exato de Fisher e Mann-Whitney para analise estatística (α=0,05). Resultados: a prevalência de lesões de abração na amostra total de dentes foi de 5,64%, sendo significativamente maior em pacientes bruxômas (8,83%) do que em pacientes sem bruxismo (1,38%) (p=0,017). A presença de bruxismo foi associada à presença de abfrações (p=0,012). Conclusão: o diagnóstico positivo do bruxismo do sono é um fator de risco, aumentando consideravelmente a chance de o paciente apresentar LCNCs do tipo abfração.
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Machado AC, Soares CJ, Reis BR, Bicalho AA, Raposo L, Soares PV. Stress-strain Analysis of Premolars With Non-carious Cervical Lesions: Influence of Restorative Material, Loading Direction and Mechanical Fatigue. Oper Dent 2017; 42:253-265. [PMID: 28467256 DOI: 10.2341/14-195-l] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Noncarious cervical lesions (NCCLs) are characterized by a loss of dental structure at the cementoenamel junction (CEJ) caused by stress, biocorrosion, and attrition. Variations in occlusal loading can promote different stress and strain patterns on the CEJ. Restoration of NCCLs is part of lesion management; however, there is still no conclusive restorative protocol for NCCLs. This study aimed to evaluate the stress and strain distribution of maxillary premolars with NCCLs according to three factors: 1) restorative technique; 2) direction of occlusal loading; and 3) mechanical fatigue. Three-dimensional (3D) finite element analysis (FEA) and strain gauge testing were used to assess stress and strain, respectively. 3D-FEA orthotropic, linear, and elastic models were generated: sound tooth (SO); unrestored NCCL; or NCCL restored with glass ionomer; flowable composite resin; nanofilled composite resin (CR); lithium disilicate ceramic; and nanofilled composite resin core associated with a lithium disilicate laminate (CL). A 150-N compressive static load was applied in two conditions: axially in both cusps (Al); and at a 45° angle to the long axis of the tooth applied to the palatine cusp (Ol). For the experimental tests, specimens were treated as described previously, and one strain gauge was attached to the buccal surface of each tooth to record tooth strains before and after cyclic loading (200,000 cycles, 50 N). FEA showed that the association of NCCL and Ol resulted in higher stress values. CR and CL restorations showed the closest biomechanical behavior to SO for both loading types. Loaded Al or Ol specimens showed higher strain values after mechanical fatigue. Lower stress and strain were observed with Al when compared with Ol. The restoration of NCCLs with composite resin only or associated with ceramic laminates seems to be the best approach because the results for those groups were similar in biomechanical behaviors to sound teeth.
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Yoshizaki KT, Francisconi-dos-Rios LF, Sobral MAP, Aranha ACC, Mendes FM, Scaramucci T. Clinical features and factors associated with non-carious cervical lesions and dentin hypersensitivity. J Oral Rehabil 2017; 44:112-118. [DOI: 10.1111/joor.12469] [Citation(s) in RCA: 48] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/06/2016] [Indexed: 11/26/2022]
Affiliation(s)
- K. T. Yoshizaki
- Department of Restorative Dentistry; School of Dentistry; University of São Paulo; São Paulo Brazil
| | | | - M. A. P. Sobral
- Department of Restorative Dentistry; School of Dentistry; University of São Paulo; São Paulo Brazil
| | - A. C. C. Aranha
- Department of Restorative Dentistry; School of Dentistry; University of São Paulo; São Paulo Brazil
| | - F. M. Mendes
- Department of Pediatric Dentistry; School of Dentistry; University of São Paulo; São Paulo Brazil
| | - T. Scaramucci
- Department of Restorative Dentistry; School of Dentistry; University of São Paulo; São Paulo Brazil
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Yang J, Cai D, Wang F, He D, Ma L, Jin Y, Que K. Non-carious cervical lesions (NCCLs) in a random sampling community population and the association of NCCLs with occlusive wear. J Oral Rehabil 2016; 43:960-966. [PMID: 27658541 DOI: 10.1111/joor.12445] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/18/2016] [Indexed: 10/21/2022]
Abstract
This study investigated the prevalence, risk factors and association of occlusive wear with non-carious cervical lesions (NCCLs) in the general Chinese population. A total of 1320 subjects were recruited, and multistage and random sampling methods of survey spots were performed. All age groups comprised similar numbers of participants and equal numbers of males and females. Each subject completed a structured interview, and all teeth of each subject were examined by a practitioner to determine NCCLs and occlusive wear. Binary logistic regression was conducted by analysing the association of risk factors with the occurrence of NCCLs. Bivariate correlation analysis was performed by determining the association of NCCLs dimension or depth with the range of occlusive wear facets. Clinical assessment showed that the overall prevalence of subjects diagnosed with NCCLs was 63%. The proportion of subjects or teeth with NCCLs significantly increased with age. Pre-molars were the most commonly affected teeth. Single variables and interactive effects of variables associated with the occurrence of NCCLs include the following: age group, intensity of toothbrushing, frequency of fresh fruit consumption and interactive effect between intensity of toothbrushing and frequency of fresh fruit consumption. A weak positive correlation of the grading index was found between NCCLs dimension, size or depth and range of occlusive wear facets. This study reported the higher prevalence of NCCLs in the general Chinese population. Implementation of a combined strategy to reduce risk factors of NCCLs could be more effective than individual techniques; meanwhile, the occurrence of NCCL could be related to the wear degree of occlusive defects in the population studied.
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Affiliation(s)
- J Yang
- Department of Endodontics, College of Stomatology, Tianjin Medical University, Tianjin, China.,Department of Implant, Stomatological Hospital of Nan Kai University, Tian'jin, China
| | - D Cai
- Key Laboratory of Oral Medicine, Guangzhou Institute of Oral Disease, Stomatology Hospital of Guangzhou Medical University, Guangzhou, China
| | - F Wang
- Department of Endodontics, College of Stomatology, Tianjin Medical University, Tianjin, China
| | - D He
- Department of Endodontics, College of Stomatology, Tianjin Medical University, Tianjin, China
| | - L Ma
- Department of Endodontics, College of Stomatology, Tianjin Medical University, Tianjin, China
| | - Y Jin
- Department of Endodontics, College of Stomatology, Tianjin Medical University, Tianjin, China
| | - K Que
- Department of Endodontics, College of Stomatology, Tianjin Medical University, Tianjin, China
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José Ricardo Kina, Yumi Umeda Suzuki T, Fumico Umeda Kina E, Kina J, Kina M. Non-Inflammatory Destructive Periodontal Disease. Open Dent J 2016; 10:50-7. [PMID: 27053968 PMCID: PMC4787315 DOI: 10.2174/1874210601610010050] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2014] [Revised: 09/17/2015] [Accepted: 10/27/2015] [Indexed: 01/08/2023] Open
Abstract
BACKGROUND Non-Inflammatory Destructive Periodontal Disease (NIDPD), is a severe destructive periodontal disease, that is characterized by the attachment loss and alveolar bone loss, without signs of the gingival inflammation, and the periodontal pocket development. OBJECTIVE Despite the fact that various cases of NIDPD have been reported; their etiology and disease evolution is still indefinite, and therefore, are open for discussion. METHOD An NIDPD case was studied in order to demonstrate features of the disease, and discuss the possible etiology and treatment. RESULTS In this clinical case, the etiology of NIDPD seems to be an association of endogenous opportunist bacteria with anatomical aspects, occlusion pattern, emotional stress and mouth breathing condition. CONCLUSION In spite of all cases described in the literature are comparable and may have similar etiology as related in this clinical case, additional research is needed to identify and clarify the role of the etiologic factors which determine the disease.
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Affiliation(s)
- José Ricardo Kina
- Department of Surgery and Integrated Clinic, Araçatuba School of Dentistry, São Paulo State University - UNESP, Araçatuba, SP, Brazil
| | - Thaís Yumi Umeda Suzuki
- Department of Dental Materials and Prosthodontics, Araçatuba School of Dentistry, São Paulo State University - UNESP, Araçatuba, SP, Brazil
| | | | - Juliana Kina
- Department of Pediatric Dentistry and Public Health, Araçatuba School of Dentistry, São Paulo State University - UNESP, Araçatuba, SP, Brazil
| | - Mônica Kina
- DDS, Private Practice, Araçatuba, SP, Brazil
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12
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Factors influencing the progression of noncarious cervical lesions: A 5-year prospective clinical evaluation. J Prosthet Dent 2016; 115:571-7. [PMID: 26774320 DOI: 10.1016/j.prosdent.2015.10.021] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2015] [Revised: 10/22/2015] [Accepted: 10/23/2015] [Indexed: 12/24/2022]
Abstract
STATEMENT OF PROBLEM The etiology (chemical, friction, abfraction) of noncarious cervical lesion (NCCL) progression is poorly understood. PURPOSE The purpose of this 5-year prospective clinical trial was to measure the relationship between NCCLs and various etiologic factors. MATERIAL AND METHODS After review board approval, 29 participants with NCCLs were enrolled. Polyvinyl siloxane impressions were made of each NCCL, and casts were poured at baseline, 1, 2, and 5 years. The casts were scanned with a noncontact profilometer, and 1-, 2-, and 5-year scans were superimposed over baseline scans to measure volumetric change in NCCLs. T-scan and Fujifilm Prescale films were used to record relative and absolute occlusal forces on teeth with NCCLs at the 5-year recall. Participant diet, medical condition, toothbrushing, and adverse oral habit questionnaires were given at the 5-year recall. Occlusal analysis was completed on mounted casts to determine the presence of wear facets and group function. Volumetric lesion progression from 1 to 5 years was correlated to absolute and relative occlusal force using mixed model analysis. The Kruskall-Wallis and Mann-Whitney analyses compared lesion progression with diet, medical condition, toothbrushing, adverse oral habits, wear facets, and group function. RESULTS The NCCL progression rate over 5 years was 1.50 ±0.92 mm(3)/yr. The rate of progression of NCCLs was related to mean occlusal stress (P=.011) and relative occlusal force (P=.032) in maximum intercuspation position. No difference was seen in NCCL progression between participants with any other factors. CONCLUSION Heavy occlusal forces play a significant role in the progression of NCCLs.
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Soares PV, Machado AC, Zeola LF, Souza PG, Galvão AM, Montes TC, Pereira AG, Reis BR, Coleman TA, Grippo JO. Loading and composite restoration assessment of various non-carious cervical lesions morphologies - 3D finite element analysis. Aust Dent J 2015; 60:309-16. [DOI: 10.1111/adj.12233] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/02/2014] [Indexed: 11/28/2022]
Affiliation(s)
- PV Soares
- NCCL Research Group; Operative Dentistry and Dental Materials Department; School of Dentistry; Federal University of Uberlândia; Campus Umuarama Uberlândia Minas Gerais Brazil
| | - AC Machado
- NCCL Research Group; Operative Dentistry and Dental Materials Department; School of Dentistry; Federal University of Uberlândia; Campus Umuarama Uberlândia Minas Gerais Brazil
| | - LF Zeola
- NCCL Research Group; Operative Dentistry and Dental Materials Department; School of Dentistry; Federal University of Uberlândia; Campus Umuarama Uberlândia Minas Gerais Brazil
| | - PG Souza
- NCCL Research Group; Operative Dentistry and Dental Materials Department; School of Dentistry; Federal University of Uberlândia; Campus Umuarama Uberlândia Minas Gerais Brazil
| | - AM Galvão
- NCCL Research Group; Operative Dentistry and Dental Materials Department; School of Dentistry; Federal University of Uberlândia; Campus Umuarama Uberlândia Minas Gerais Brazil
| | - TC Montes
- NCCL Research Group; Operative Dentistry and Dental Materials Department; School of Dentistry; Federal University of Uberlândia; Campus Umuarama Uberlândia Minas Gerais Brazil
| | - AG Pereira
- NCCL Research Group; Operative Dentistry and Dental Materials Department; School of Dentistry; Federal University of Uberlândia; Campus Umuarama Uberlândia Minas Gerais Brazil
| | - BR Reis
- NCCL Research Group; Operative Dentistry and Dental Materials Department; School of Dentistry; Federal University of Uberlândia; Campus Umuarama Uberlândia Minas Gerais Brazil
| | - TA Coleman
- Shaftsbury Medical Building; Shaftsbury Vermont USA
| | - JO Grippo
- Department of Biomedical Engineering; Western New England University; Springfield Massachusetts USA
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14
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Pereira FA, Zeola LF, de Almeida Milito G, Reis BR, Pereira RD, Soares PV. Restorative material and loading type influence on the biomechanical behavior of wedge shaped cervical lesions. Clin Oral Investig 2015; 20:433-41. [PMID: 26159778 DOI: 10.1007/s00784-015-1523-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2014] [Accepted: 06/30/2015] [Indexed: 11/29/2022]
Abstract
OBJECTIVES To evaluate the influence of restorative materials used on the rehabilitation of MOD cavities and loading type, on biomechanical behavior of wedge-shaped (WS) lesions in endodontically treated maxillary premolars. The investigation was conducted by 3D finite element analysis (FEA) and strain gauge test. MATERIALS AND METHODS Six models were generated, with MOD cavities and endodontic treatment: A (MOD amalgam restoration), R (MOD composite restoration), AL (A + cervical lesion (L)), RL, ALR (A + cervical lesion restored with composite (LR)), and RLR. Each model underwent two compressive loading (100N): axial and oblique-45° angle to the long axis on the buccal cusp. The models were analyzed by von Mises criteria. For strain gauge test, 14 standardized maxillary premolars were treated according to the groups described for FEA. Two strain gauges were bonded on each sample submitted to compressive loading in a mechanical testing machine. RESULTS A presented higher stress concentration and strain values than R. Oblique loading promoted highest stress concentration and strain rates for all groups. ALR and RLR presented similar stress-strain distribution pattern when compared to A and R. CONCLUSION The interaction between MOD cavity restored with amalgam and oblique loading propitiated the highest stress concentration and strain values on cervical region and WS lesion. CLINICAL RELEVANCE The MOD cavity restored with composite resin is a better option than amalgam to improve the biomechanical behavior of wedge-shaped lesion, avoiding dental failure. In addition, the occlusal interferences must be removed, allowing homogeneous contact distribution and preventing WS lesion progression.
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Affiliation(s)
- Fabrícia Araújo Pereira
- Operative Dentistry and Dental Materials Department, Federal University of Uberlandia, Rua Republica do Piratini S/N Bloco 4LA Sala 37 Campus Umuarama, Uberlândia, Minas Gerais, 38405-325, Brazil
| | - Livia Fávaro Zeola
- Operative Dentistry and Dental Materials Department, Federal University of Uberlandia, Rua Republica do Piratini S/N Bloco 4LA Sala 37 Campus Umuarama, Uberlândia, Minas Gerais, 38405-325, Brazil
| | - Giovana de Almeida Milito
- Operative Dentistry and Dental Materials Department, Federal University of Uberlandia, Rua Republica do Piratini S/N Bloco 4LA Sala 37 Campus Umuarama, Uberlândia, Minas Gerais, 38405-325, Brazil
| | - Bruno Rodrigues Reis
- Operative Dentistry and Dental Materials Department, Federal University of Uberlandia, Rua Republica do Piratini S/N Bloco 4LA Sala 37 Campus Umuarama, Uberlândia, Minas Gerais, 38405-325, Brazil
| | - Rodrigo Dantas Pereira
- Department of Dentistry, United Universities of the North of Minas, Avenida Osmane Barbosa, 11111, Montes Claros, Minas Gerais, 39404-549, Brazil
| | - Paulo Vinícius Soares
- Operative Dentistry and Dental Materials Department, School of Dentistry, Federal University of Uberlandia, Rua Republica do Piratini S/N Bloco 4LA Sala 37 Campus Umuarama, Uberlândia, Minas Gerais, 38405-325, Brazil.
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15
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Soares PV, Souza LV, Veríssimo C, Zeola LF, Pereira AG, Santos-Filho PCF, Fernandes-Neto AJ. Effect of root morphology on biomechanical behaviour of premolars associated with abfraction lesions and different loading types. J Oral Rehabil 2013; 41:108-14. [DOI: 10.1111/joor.12113] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/24/2013] [Indexed: 11/30/2022]
Affiliation(s)
- P. V. Soares
- NCCL Research Group; Department of Operative Dentistry; Prosthodontics and Dental Materials; School of Dentistry; Federal University of Uberlândia; Uberlândia Brazil
| | - L. V. Souza
- NCCL Research Group; Department of Operative Dentistry; Prosthodontics and Dental Materials; School of Dentistry; Federal University of Uberlândia; Uberlândia Brazil
| | - C. Veríssimo
- NCCL Research Group; Department of Operative Dentistry; Prosthodontics and Dental Materials; School of Dentistry; Federal University of Uberlândia; Uberlândia Brazil
| | - L. F. Zeola
- NCCL Research Group; Department of Operative Dentistry; Prosthodontics and Dental Materials; School of Dentistry; Federal University of Uberlândia; Uberlândia Brazil
| | - A. G. Pereira
- NCCL Research Group; Department of Operative Dentistry; Prosthodontics and Dental Materials; School of Dentistry; Federal University of Uberlândia; Uberlândia Brazil
| | - P. C. F. Santos-Filho
- NCCL Research Group; Department of Operative Dentistry; Prosthodontics and Dental Materials; School of Dentistry; Federal University of Uberlândia; Uberlândia Brazil
| | - A. J. Fernandes-Neto
- NCCL Research Group; Department of Operative Dentistry; Prosthodontics and Dental Materials; School of Dentistry; Federal University of Uberlândia; Uberlândia Brazil
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16
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Bignozzi I, Littarru C, Crea A, Vittorini Orgeas G, Landi L. Surgical treatment options for grafting areas of gingival recession association with cervical lesions: a review. J ESTHET RESTOR DENT 2013; 25:371-82. [PMID: 24103046 DOI: 10.1111/jerd.12058] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Abstract
STATEMENT OF THE PROBLEM Gingival recession (GR) is a highly prevalent dental problem that may be associated with dentin hypersensitivity and aesthetic complaint. Furthermore, GR is often complicated by dental cervical wear of substance, such as erosion, abrasion, or abfraction lesions, as well as initial or more extensive carious involvement of the cervical area, which worsen the symptoms and make the treatment of this periodontal condition more challenging. THE PURPOSE OF THE STUDY To provide an overview of surgical treatment options presented in the literature for sites affected by GR with carious cervical lesions (CCLs) or non-carious cervical lesions (NCCLs). METHODS The Medline database was searched for items dealing with GR and its treatment options, especially on GR associated with CCLs or NCCLs. RESULTS Several periodontal surgical techniques have shown good potential for treating GR over the years. Specifically, considering GR associated with CCL or NCCL, an assessment of both hard (dental) and soft (gingival) tissue characteristics of the involved site is recommended in selecting the surgical procedure. CONCLUSIONS For GR associated with CCL or NCCL, hard and soft tissue characteristics of the involved site have to be carefully evaluated in order to choose the most appropriate surgical procedure. CLINICAL SIGNIFICANCE A structured decision-making process, considering both hard and soft tissue characteristics of the involved site, is recommended in choosing the most appropriate surgical procedures to treat GR associated with CCL or NCCL defects. The restitutio ad integrum of the dento-periodontal unit is an essential condition to restore the tooth to its original function and esthetics.
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Affiliation(s)
- Isabella Bignozzi
- EduPERIO Periodontal Education and Research International Organization, Rome, Italy; Private Practice, Rome, Italy
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17
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Bignozzi I, Crea A, Capri D, Littarru C, Lajolo C, Tatakis DN. Root caries: a periodontal perspective. J Periodontal Res 2013; 49:143-63. [PMID: 23647556 DOI: 10.1111/jre.12094] [Citation(s) in RCA: 42] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/30/2013] [Indexed: 11/27/2022]
Abstract
BACKGROUND AND OBJECTIVE A prevailing dental problem in the periodontal patient is root caries. Specifically, periodontal involvement often results in root surfaces becoming exposed and at risk for this condition. Periodontal therapy often leads to increased gingival recession as well, and the associated increased root caries risk may compromise the long-term success and survival of periodontally treated teeth.This narrative review will address the topic of root caries in the periodontal patient, focusing on unmet research needs. MATERIAL AND METHODS The Medline database was searched to identify items dealing with root caries, in terms of clinical features, diagnosis, pathogenic mechanisms and histopathology, as well as epidemiology, focusing then on the relationship between root caries and periodontal disorders. RESULTS Although there is extensive literature on root caries, consensus is lacking regarding certain aspects, such as diagnostic criteria, prevalence within populations and indisputable risk factors. Advancing age could be an aggravating factor in susceptibility to root caries for the periodontal patient; however, definitive evidence in this regard is still missing. Similarly, full awareness of the increased risk of root caries in patients with periodontal disease or long-term periodontal treatment appears to be still lacking. CONCLUSION Research regarding root caries in age-specific (elderly) periodontal patients is needed. Improved oral hygiene practices, locally applied preventive measures, good dietary habits and regular dental check-ups are crucial approaches to prevent both periodontal disease progression and root caries. Periodontal patients with root exposure should follow a strict root caries prevention protocol, as an integral component of their periodontal maintenance therapy.
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Affiliation(s)
- I Bignozzi
- EduPERIO Periodontal Education and Research International Organization, Rome, Italy
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18
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Silva AG, Martins CC, Zina LG, Moreira AN, Paiva SM, Pordeus IA, Magalhães CS. The association between occlusal factors and noncarious cervical lesions: A systematic review. J Dent 2013; 41:9-16. [DOI: 10.1016/j.jdent.2012.10.018] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2012] [Revised: 10/24/2012] [Accepted: 10/29/2012] [Indexed: 10/27/2022] Open
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19
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Katona TR. Engineering analyses of the link between occlusion and temporomandibular joint disorders. INTERNATIONAL JOURNAL OF STOMATOLOGY & OCCLUSION MEDICINE 2012. [DOI: 10.1007/s12548-012-0068-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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20
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Occlusal adjustment associated with periodontal therapy--a systematic review. J Dent 2012; 40:1025-35. [PMID: 22982113 DOI: 10.1016/j.jdent.2012.09.002] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2012] [Revised: 09/05/2012] [Accepted: 09/07/2012] [Indexed: 12/20/2022] Open
Abstract
OBJECTIVES Occlusal adjustment as part of periodontal therapy has been controversial for years, mostly because the literature does not provide enough evidence regarding the influence of trauma from occlusion (TfO) on periodontitis. The need for occlusal adjustment in periodontal therapy is considered uncertain and requires investigation. The aim of this systematic review was to identify and analyse those studies that investigated the effects of occlusal adjustment, associated with periodontal therapy, on periodontal parameters. DATA A protocol was developed that included all aspects of a systematic review: search strategy, selection criteria, selection methods, data collection and data extraction. SOURCES A literature search was conducted using MEDLINE via PubMed, the Cochrane Central Register of Controlled Trials, and EMBASE. STUDY SELECTION Three reviewers screened the titles and abstracts of articles according to the established criteria. Every article that indicated a possible match, or could not be excluded based on the information given in the title or abstract, was considered and evaluated. On final selection, four articles were included. CONCLUSIONS Although the selected studies suggest an association between occlusal adjustment and an improvement in periodontal parameters, their methodological issues (explored in this review) suggest the need for new trials of a higher quality. There is insufficient evidence at present to presume that occlusal adjustment is necessary to reduce the progression of periodontal disease. CLINICAL SIGNIFICANCE Although it is still not possible to determine the role of occlusal adjustment in periodontal treatment, adverse effects have not been related to occlusal adjustment. This means that the decision made by clinicians whether or not to use occlusal adjustment in conjunction with periodontal therapy hinges upon clinical evaluation, patient comfort, and tooth function.
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21
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Abstract
This narrative review describes the methodological challenges in the study of dental occlusion. The reigning confusion about the scope of this topic is discussed, and a conceptual framework for understanding dental occlusion research is suggested. The characteristics of clinical studies used in the study of dental occlusion are presented within this proposed framework consisting of a triad comprising the relative positions of the teeth-mandible-maxilla, the oral functions and oral appearance. Challenges in the preparation for a clinical study of dental occlusion are reviewed, which include a discourse on the objectives of a clinical study and appropriateness of different study designs. Guidelines are provided for the conduct of studies with a central focus on dental occlusion and diagnostic tests, prognosis, therapy and aetiology, respectively. Summarising chapters present methodological challenges in designing a clinical study of dental occlusion and threats to the proper conduct of a clinical study.
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Affiliation(s)
- A Jokstad
- Faculty of Dentistry, University of Toronto, Ontario, Canada.
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22
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Senna P, Del Bel Cury A, Rösing C. Non-carious cervical lesions and occlusion: a systematic review of clinical studies. J Oral Rehabil 2012; 39:450-62. [PMID: 22435539 DOI: 10.1111/j.1365-2842.2012.02290.x] [Citation(s) in RCA: 46] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Non-carious cervical lesions (NCCLs) are a group of lesions that affect the cervical area of the teeth. Different aetiological factors have been reported, among them tooth brushing force, erosive agents and occlusal forces. The aim of this study was to ascertain, by means of a systematic review, the association between NCCLs and occlusion. A search was performed in the MEDLINE database, retrieving a total of 286 articles. After title and abstract screening, the clinical investigations were read in full to select those that evaluated the occlusal aspects of NCCL aetiology. This systematic review describes the results of three prospective and 25 cross-sectional studies. As there is an extreme heterogeneity in design, diagnostic criteria, forms of analysis and associated factors, a meta-analysis was not possible. The wide variety of classification and diagnostic criteria reflects a high range of reported prevalence. An extensive heterogeneity of independent variables was noted, even in occlusal analysis, which helps to mask any conclusion about the role of occlusion in NCCL aetiology. The literature reveals that studies on this topic are subject to a substantial amount of bias, such as evaluation (use of non-blinded examiners) and confounding bias (no control of others aetiological factors). Up to now, it has been impossible to associate NCCLs with any specific causal agent, and the role of occlusion in the pathogenesis of non-carious cervical lesions seems as yet undetermined. Therefore, additional studies, properly designed to diminish bias, are warranted.
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Affiliation(s)
- P Senna
- Department of Prosthodontics and Periodontology, Piracicaba Dental School, Piracicaba, São Paulo, Brazil.
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