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Journal of Dental Research
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CRITICAL REVIEWS IN ORAL BIOLOGY & MEDICINE

A Critical Review of Non-carious Cervical (Wear) Lesions and the Role of Abfraction, Erosion, and Abrasion

D.W. Bartlett* and P. Shah

Department of Prosthodontics, Floor 25, Guy’s Tower, St. Thomas’ Street, London Bridge, London SE1 9RT, UK

Correspondence: * corresponding author, david.bartlett{at}kcl.ac.uk

The terms ‘abfraction’ and ‘abrasion’ describe the cause of lesions found along the cervical margins of teeth. Erosion, abrasion, and attrition have all been associated with their formation. Early research suggested that the cause of the V-shaped lesion was excessive horizontal toothbrushing. Abfraction is another possible etiology and involves occlusal stress, producing cervical cracks that predispose the surface to erosion and abrasion. This article critically reviews the literature on abrasion, erosion, and abrasion, and abfraction. The references were obtained by a MEDLINE search in March, 2005, and from this, hand searches were undertaken. From the literature, there is little evidence, apart from laboratory studies, to indicate that abfraction exists other than as a hypothetical component of cervical wear.

Key Words: abrasion • erosion • attrition • abfraction • tooth wear

Journal of Dental Research, Vol. 85, No. 4, 306-312 (2006)
DOI: 10.1177/154405910608500405
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