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What is Abfraction?
Abfraction is a notched area ( V - shaped or wedge - regulate ) between the tooth and the gum . It is ordinarily painless but may touch the sensitiveness of the tooth affected . It may also be follow by pathological wear such as regressive alteration of the tooth .
Abfraction is basically a type of non - carious lesion characterise by deprivation of tissue of the tooth and with unlike clinical appearance .
What Causes Abfraction?
The movement of the lesion can have chemical , biologic and behavioral factors(1 ) . Abfraction can occur as a result of normal or abnormal tooth function and may also be accompany by pathologic wearing ( abrasion and erosion ) .
retentive time tenseness on the tooth is the major contributing factor which can befall in various other ways such as ,
Teeth Grindingor Bruxism : wont of mash and clenching the teeth oftentimes , mostly triggered by stress and anxiety is known as bruxism .
Malocclusion or Misalignment of Teeth
Acidic and Abrasive Factors With Lead To Mineral Loss : Acid ebb or acidic nutrient and deglutition can make erosion of the tooth and lead to abfraction .
unlawful tooth brushing and use of scratchy toothpaste can lead to gum recession and let out the less mineral part of the tooth ( cement and dentine ) . This can head to abfraction .
The harsh factors initiate the abfraction and the stress from the bite deepen it .
The incident of abrasion increases with eld , with an increase from 3 pct to 17 percent between the years of 20 and 70 years(1 ) .
Symptoms of Abfraction
The clinical manifestation of abfraction may be subject on the type and severity of the etiological broker involved . There are not much of mark and symptom which are seen during abfraction . It is painless but there might be tooth sensitiveness to heating system and frigid .
nutrient getting stuck in the wedge , which would be seeable , only when you smile widely , would make you cognisant of the condition .
If the damage continues and persist unbridled or untreated , it could lead to :
Diagnosis of Abfraction:
Just like any other clinical problem , diagnosis of this condition plays a major role in the direction of the wound .
A over medical chronicle and clinical examen can aid accomplish an accurate diagnosing . Abfraction have multifactorial nature , therefore , all the potential causes much be evaluated . A medical history of gastroesophageal ebb disease , eating disorder , and dietetical contributor should be included in the rating . Oral drug abuse , occlusion , and occupational and ritual behaviors should also be evaluated .
Treatment Options For Abfraction
Though abfraction does not mostly require any discussion it is important to get it checked by a tooth doctor . He can avail guard off any approaching heavy problem .
The treatment for abfraction is recommended on the basis of the severity of the problem and also on the co - existing dental trouble . Though the damage is irreversible , the tooth sensitivity can be eased , and the appearance of the tooth can be ameliorate . All this can prevent any further equipment casualty . The treatment options admit :
Filling : It is a in force esthetic option . Due to the exposed nerve terminate , there is tooth sensitivity . The doctor can fill up the col with the material rival the tooth color .
Mouthguard : For those who have a habit of clinch or grinding the teeth , the tooth doctor fits a mouthguard to keep further damage .
Toothpaste : There are sure variety of toothpaste which can help with tooth sensitiveness and abrasion .
Orthodontics : Realigning the bite can also be helpful in foreclose succeeding damage , specially in those who fall in the low historic period group .
Make certain to get cognisant of all the options and the risk involved with them beforehand . The cost of the intervention also varies , so ask the dentist about it .
Use the toothbrush , toothpaste and the mouth rinse advised by the dentist . Ask the dental hygienist to apprise the right brushing proficiency to preclude further wrong . Gum recession is a common job with abfraction which can further lead to loosening of the tooth or tooth loss , it is , therefore , important to seek discussion for the stipulation .
