Evidence map›Paper›PMID 41364373›Full record

Observational studyClinical oral investigations2025

Digital quantitative analysis of noncarious cervical Lesions, occlusal tooth Wear, and gingival recession: results from a 25-Year clinical Follow-Up study.

Caroline Vieira Maluf, Ronaldo Hirata, Eduardo Jose Veras Lourenço, Luis Fernando Pegoraro, Ricardo Guimarães Fischer, Daniel de Moraes Telles

Abstract readObservational Study
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In one paragraph

Observational study in Clinical oral investigations, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
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.

Caroline Vieira MalufDepartment of Prosthodontics, School of Dentistry, Rio de Janeiro State University, Rio de Janeiro, Brazil. carolinemaluf@hotmail.com.ORCID http://orcid.org/0000-0001-7416-4700
Ronaldo HirataDepartment of Biomaterials and Biomimetics, New York University College of Dentistry, New York, USA.ORCID http://orcid.org/0000-0002-9084-1852
Eduardo Jose Veras LourençoDepartment of Prosthodontics, School of Dentistry, Rio de Janeiro State University, Rio de Janeiro, Brazil.ORCID http://orcid.org/0000-0002-7163-8138
Luis Fernando PegoraroDepartment of Prosthodontics, Bauru School of Dentistry, University of São Paulo, São Paulo, Brazil.ORCID http://orcid.org/0000-0002-6059-6817
Ricardo Guimarães FischerDepartment of Prosthodontics, School of Dentistry, Rio de Janeiro State University, Rio de Janeiro, Brazil.ORCID http://orcid.org/0000-0003-0695-8159
Daniel de Moraes TellesDepartment of Prosthodontics, School of Dentistry, Rio de Janeiro State University, Rio de Janeiro, Brazil.ORCID http://orcid.org/0000-0001-9576-4342

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo quantitatively evaluate the progression of non-carious cervical lesions (NCCLs), gingival recession (GR), and occlusal tooth wear (OTW) over 25 years.

methodsThis observational, retrospective study involved 33 dental students who completed a questionnaire regarding their oral habits, diet, and health information. Impressions from the baseline and the 25-year follow-up were used to create digital casts, which were analyzed with 3D software (Geomagic Control; 3D Systems) to measure the progression of NCCLs, GR, and OTW. Occlusal analysis from Phase I, using the T-Scan system (Tekscan), was also included to evaluate occlusal interferences.

resultsNCCL dimensions (area, height, and width) showed moderate associations with GR and only weak correlations with OTW. Multivariate regression analyses identified significant factors associated with NCCL progression. For NCCLs, visible plaque, vigorous toothbrushing, occlusal interferences, dentin hypersensitivity, alcohol consumption, smoking, and frequent exposure to acidic or cariogenic diets were associated with increased NCCL progression. For GR, was significantly associated with occlusal contact, dentin hypersensitivity, alcohol consumption, and smoking. For OTW, unilateral mastication, long-term orthodontic treatment, and smoking were positively correlated with wear progression.

conclusionsMechanical and behavioral factors-particularly vigorous toothbrushing, occlusal interferences, and lifestyle habits such as smoking and alcohol consumption-significantly influenced the long-term progression of NCCLs, GR, and OTW. Mandibular molars and premolars were the most frequently affected teeth. CLINICAL SIGNIFICANCE: The use of digital three-dimensional analysis allows accurate monitoring of NCCLs, GR, and OTW. Preventive measures should prioritize controllable risk factors, including brushing habits, smoking, alcohol consumption, and occlusal imbalances.

Indexed as

Gingival RecessionTooth CervixTooth WearAdultDisease ProgressionFemaleFollow-Up StudiesHumansMaleRetrospective StudiesRisk FactorsStudents, DentalSurveys and QuestionnairesAgingDental digital imaging.Gingival recessionLongitudinal studiesNoncarious cervical lesionsTooth attrition

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Registered trials

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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.