Evidence map›Paper›PMID 27217799›Full record

ReviewClinical, cosmetic and investigational dentistry2016

Abfraction lesions: etiology, diagnosis, and treatment options.

Marcelle M Nascimento, Deborah A Dilbone, Patricia Nr Pereira, Wagner R Duarte, Saulo Geraldeli, Alex J Delgado

Open access · goldAbstract readReview
In one paragraph

Review in Clinical, cosmetic and investigational dentistry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
8.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 135 citations in OpenAlex.

  1. Trial
  2. Article
  3. Clinical Features of Non-Carious Cervical Lesions: An Observational Clinical Study.Clinical, cosmetic and investigational dentistry · 2026
    Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Stereomicroscopic Aspects of Non-Carious Cervical Lesions.Diagnostics (Basel, Switzerland) · 2023
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Tooth surface loss: A review of literature.The Saudi dental journal · 2020
    Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Marcelle M NascimentoDepartment of Restorative Dental Sciences, Division of Operative Dentistry, University of Florida, Gainesville, FL, USA.
Deborah A DilboneDepartment of Restorative Dental Sciences, Division of Operative Dentistry, University of Florida, Gainesville, FL, USA.
Patricia Nr PereiraDepartment of Restorative Dental Sciences, Division of Operative Dentistry, University of Florida, Gainesville, FL, USA.
Wagner R DuarteDepartment of Periodontology, College of Dentistry, University of Florida, Gainesville, FL, USA; Private Practice, Brasilia, DF, Brazil.
Saulo GeraldeliDepartment of Restorative Dental Sciences, Division of Operative Dentistry, University of Florida, Gainesville, FL, USA.
Alex J DelgadoDepartment of Restorative Dental Sciences, Division of Operative Dentistry, University of Florida, Gainesville, FL, USA.
University of Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Abfraction is a type of noncarious cervical lesion (NCCL) characterized by loss of tooth tissues with different clinical appearances. Evidence supports that abfraction lesions, as any NCCLs, have a multifactorial etiology. Particularly, the cervical wear of abfraction can occur as a result of normal and abnormal tooth function and may also be accompanied by pathological wear, such as abrasion and erosion. The interaction between chemical, biological, and behavioral factors is critical and helps to explain why some individuals exhibit more than one type of cervical wear mechanism than others. In an era of personalized dentistry, patient risk factors for NCCLs must be identified and addressed before any treatment is performed. Marked variations exist in dental practice concerning the diagnosis and management of these lesions. The lack of understanding about the prognosis of these lesions with or without intervention may be a major contributor to variations in dentists' management decisions. This review focuses on the current knowledge and available treatment strategies for abfraction lesions. By recognizing that progressive changes in the cervical area of the tooth are part of a physiologically dynamic process that occurs with aging, premature and unnecessary intervention can be avoided. In cases of asymptomatic teeth, where tooth vitality and function are not compromised, abfraction lesions should be monitored for at least 6 months before any invasive procedure is planned. In cases of abfraction associated with gingival recession, a combined restorative-surgical approach may be performed. Restorative intervention and occlusal adjustment are not indicated as treatment options to prevent further tooth loss or progression of abfraction. The clinical decision to restore abfraction lesions may be based on the need to replace form and function or to relieve hypersensitivity of severely compromised teeth or for esthetic reasons.

Indexed as

abfractionnoncarious cervical lesionstooth restorationtooth wear

Identifiers

PMID27217799
PMCPMC4861607
OpenAlexW2346872360

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.