Review of Abfraction wear of Dental materials.

Rudolf Ragis - (20MAE0061)

Dhivakar.K - (20MAE0056)

M. Tech. Automotive Engineering

Review Presentation

School
School of
of Mechanical
Mechanical Engineering
Engineering
Dr.
Dr. Niranjana
Niranjana Behera
Behera
Project
Project Guide
Guide
CONTENTS

Introduction

Objective and scope

Review Points
 Introduction

• Abfraction is the pathological loss of tooth substance caused by

biomechanical loading forces that result in flexure and failure of
enamel and dentin at a location away from the loading.

• Abfraction is thought to take place when excessive cyclic,non-axial

tooth loading leads to cusp flexure and stress concentration in the
vulnerable cervical region of teeth.

• Abfraction is caused by stress and pressure applied to the teeth

through biting, chewing, clenching the teeth, and most commonly,
teeth grinding. These forces put great stress on the teeth near the
gum line, where the enamel and cementum of the teeth meet.
Objective & Scope

• The main objective of the to Review of Abfraction wear of

Dental materials.

• The mechanism of abfraction wear is to be studied.

• Better understand the causes and suggest preventive

methods.

• Possibly suggest dental filling materials.

Review Points
Title of the paper
Abfraction: A review
Abfraction: separating fact from doi: 10.1111/j.1834- JA Michael, GC The findings from anthropological,
fiction
Abfraction, Abrasion,
Biocorrosion, and the Enigma 8240.2011.00487.x MARVIN SIMRING, microstructural loss of tooth substance in particular NCCL depends
of
Noncarious Cervical Lesions.
Wear of human teeth: a
tribological perspective
Journal & Year Authors Significant Outcomes Critical Remarks
DOI:10.4103/0973- Gargi S Sarode, biomechanical loading forces result in However, the theory is not yet
029X.119788 / 2013 Sachin C Sarode flexure and failure of enamel and dentin at proven and there are
a location away from the loading. xplanations against it. AF
lesions present primarily at the
cervical region of the dentition
and are typically wedge-
shaped, with sharp internal
and external line angles.
If abfraction is suspected to
7819.2008.01080.x Townsend, LF epidemiological, theoretical, be a dominant factor in the
experimental and clinical studies suggest aetiology of NCCLs, then any
2019 Greenwood, JA
that abfrac_x0002_tion should still be decision
Kaidonis. considered to be a theoretical to carry out destructive,
concept rather than a genuine contributor irreversible treatment, such
to NCCL formation. as occlusal adjustment,
should be considered very
carefully.
DOI 10.1111/j.1708- JOHN O. GRIPPO, Abfraction, representing the Appropriate designation of a
areas of stress concentration, should not upon the interplay of the
2012 THOMAS A.
be used to designate all NCCLs because specific combination of three
COLEMAN, these lesions are commonly multifactorial major mechanisms: stress,
in origin. friction, and biocorrosion,
unique to that individual case.
DOI: R Lewis_x0002_ The current understanding of wear of Mech Properties of dental
10.1243/135065005 and R S Dwyer- enamel anddentine in teeth is reviewed in materials and way to test the
X9655 & 2005 Joyce terms of these mechanisms and the major wear of tooth.
influencing factorsare examined. In vitro
tooth wear simulation and in vivo wear
measurement and ranking are also
discussed.
Literature Review
Title of the paper
Esthetic and Predictable
Treatment of Abfraction Lesions 2011 Volume 7,
Abfraction: Concepts Revisited
Dental abfraction- case report
Journal & Year Authors Significant Outcomes Critical Remarks
Inside Dentistry, June Robert Marus, author has treated thousands of Currently, Venus Diamond Flow
abfraction lesions with flowable exceptional material for this
Issue 6 composite with minimal failure. application in the author's opinion
because of its low shrinkage stress,
thixotropic nature, lower modulus
of elasticity, and excellent
polishability.
ISSN 2231 – 2250, Aman Chowdhry, Up until now, research into the causes It is critical to eliminate the lateral
2013 Ankita Tandon, Vivek of abfractions seems to be divided into interferences that craft the cyclic
Mehta, Gayathri two camps; some researchers argue for compressions of the crown onto
tooth brushes and other artificial forces the cementoenamel junction so
Ramesh as the cause while some also point out that the micro fractures of the
the internal physiological sources as enamel and cementum are
the culprit. eliminated.
10.2478/arsm-2014- Gheorghiu Irina-Maria Dental abfraction lesions benefits successful treatment is complex
0028 & 2014 , Mitran Loredana, restoration with light-cured composite and addresses both the loss of
Mitran M., Mironiuc- materials. In this way the missing tooth dental hard substance, and
structure is restored in an aesthetically,
Cureu Magdalena, conservative and predictable way. etiologic factors.
Iliescu A. A., Suciu
Literature Review
Title of the paper
Trends of Syngas as a Fuel in
Internal Combustion Engines
Journal & Year Authors Significant Outcomes Critical Remarks
http://dx.doi.org/10. Ftwi Yohaness Hagos,1 A critical view on Abfraction to see There is insufficient evidence to
1155/2014/401587- A. Rashid A. Aziz,1 and whether it exists other than as a confirm that abfraction truly exists.
2014 Shaharin Anwar hypothetical component of cervical More research, particularly clinical,
wear. is needed to establish the validity of
Sulaiman2 abfraction existing as an entity.

The tribology of dental ceramics
TLT Feature Article Jeanna Van Rensselar Wear factors influence the Ceramics are widely used in
November 2020 development of materials and the dentistry due to their ability to
design of restorations. mimic the optical characteristics of
enamel and dentine, as well as their
biocompatibility and durability.
They include a wide array of
materials.

Tribology of dental materials: a
review
doi:10.1088/0022- Z R Zhou and J Zheng The anatomy and function of human
3727/41/11/113001 teeth is presented in brief, three types
2008 of current artificial dental materials
are summarized, and their advantages
and disadvantages, as well as typical
clinical applications, are compared
based on the literature
Many studies have focused on
the aetiology of toothwear but the
wear mechanism is far less
understood. It is suggested that the
tribological models of teeth be
tetsed.
Literature Review
Title of the paper Journal & Year Authors Significant Outcomes Critical Remarks
Clinical evaluation of two http://dx.doi.org/10. Fabianna da Conceiçã o Both materials demonstrated Comparitively composite resin CR
materials in therestoration of 1590/1677- Dantas de Medeiros, satisfactory clinical performance after is most reliable and
abfraction lesions 3225v14n4a07 Marquiony Marques one year. In the costtworthiness than the RMGIC
Santos, Isaac Jordã o de individual analysis of each material,resin modified glass ionmer
Souza Araú jo, there was a significant difference cement.
Isabela Pinheiro (p<0.05) in the criteria Since There was no significant
Cavalcanti Lima marginal integrity and wear, for bothdifference in the number of
CR and RMGIC. RMGIC exhibited more retentions, caries or
damage one year after restoration. hypersensitivity
between CR and RMGIC.
Impact wear behavior of human http://dx.doi.org/10. Jing Zhengn, They presented the exact impact wear The wear loss of dried enamel was
tooth enamel under simulated 1016/j.jmbbm.2016. YangyangZeng, behaviors of fresh and dried human higher than that of fresh enamel,
chewing conditions 04.039 JianWen,LiangZheng, tooth enamel and the influence of and there were more obvious
water content within enamel. delamination occurred on the worn
ZhongrongZhou surface of dried enamel and the
The surface damage of fresh
enamel was dominated by plastic
deformation at the early stage of
impact wear.
Esthetic and Predictable https://www.aegisde Robert Marus In current/today’s patient population cervical enamel area has suffered
Treatment of Abfraction Lesions ntalnetwork.com/id/ with abfraction lesion s the treatment additional exposure from gingival
2011/06/esthetic- of this type of lesion opens up a new rece as a reduction in thickness
avenue of restorative treatment.
and-predictable- secondary to toothpaste abrasion,
treatment-of- the development of an abfraction
abfraction-lesions lesion may be accelerated.
Literature Review
Title of the paper Journal & Year Authors Significant Outcomes Critical Remarks
Noncarious Cervical Lesions as https://www.researc Ahmed Mohammed El- To provide a significant role of this Bioengineering studies have
Abfraction: Etiology, Diagnosis, hgate.net/publicatio Marakby, Fuad Abdo cervical lesions and focuses on the discovered the association
and n/317994484 Al-Sabri*, Sahar A etiology and all available treatment between wear at the cervical region
Treatment Modalities of Lesions: plan strategies of non-carious cervical and occlusal stresses by employing
A Review Article Alharbi , Shahad M lesions. finite elemental analysis or photo-
Halawani and Mehaf T elastic methods .
bin Yousef Moreover, very few clinical studies
have not provided enough evidence
on the relation between Abfraction
lesions and occlusal stresses.
Wear, strength, modulus and http://dx.doi.org/10. Nathaniel C. the initial crownfracture strength of the polymer containing materials
hardness ofCAD/CAM restorative 1016/j.dental.2016.0 Lawsona,∗, Ritika Lava Ultimate (213 N) and Enamic may not pos-sess high initial
materials 8.222 Bansalb, John O. (215 N)were less than e.max (429 N), strength .
Burgessaa

Abfraction lesions: etiology, http://dx.doi.org/10. Marcelle M To relive from hypersensitivity of abfraction lesions should be
diagnosis, and treatment options 2147/CCIDE.S63465 Nascimento, severely compromised teeth or for monitored for at least 6 months
Deborah A Dilbone, esthetic reasons. before any invasive procedure is
Patricia NR Pereira, planned. And after restoration once
Wagner R Duarte, in every 6 month for next 1-2 years.
Saulo Geraldeli,
Alex J Delgado.
Literature Review
Title of the paper
Wear performance of dental
ceramics after grinding and
polishing treatments
WEAR RESISTANCE OF DENTAL DOI:
MATERIALS WHICH ARE USED 10.36740/WLek2020 M. Tkachenko, Petro ceramics may be proposed as the
FOR ANTERIOR TEETH 08117
RESTORATIONS
Investigation of three-body wear https://doi.org/10.1 Efe Cetin Yılmaz* and three-body wear rates for the
of dental
materials under different
chewing cycles
Journal & Year Authors Significant Outcomes Critical Remarks
doi:10.1016/j.jmbbm Verena Preis∗, Michael
No wear was found for polished, chipping failures of the veneering
.2012.03.002 Behr, Gerhard Handel,
ground and repolished zirconia. (Larsson, 2011; Sailer et al.,
Sibylle Schneider-
Compared 2009) and high wear of
Feyrer, Sebastian
to the wear depths of the enamel antagonistic teeth (Etman et al.,
Hahnel, reference with 274.1 ― μm versus 2008;
Martin Rosentritt
steatite and Suputtamongkol et al., 2008) have
123.3 ― μm versus enamel, relative been reported
wear depths of porcelains ranged
between
0.54 ― 0.07 and 0.62 ―0.26 and 1.04 ―
0.27
with enamel antagonists.
Igor V. Yanishen, Iryna Dental composite resin and leucite hardness of materials doesn’t
always predestinate success in
M. Skrypnikov, Petro materials of choice for anterior rehabilitation of patient. The
A. Hasiuk3 restoration of teeth. They have shown changes of life quality of patient are
the good wear resistance and tolerance supposed to be the parameter
to antagonizing natural teeth which is used for evaluation of
successful treatment.
the dental composite material
515/secm-2016- Recep Sadeler composites Durafil and Kalore containing two different particles.
0385 composite were significantly These materials are called micro-or
higher than those of the other nano-hybrid resin composites
composites and the depending on the size and content
amalgam irrespective of the number of of micro- or nano-particles
mastication cycles. Commercially, it is often difficult to
Filtek Z250 and Filtek Supreme distinguish between micro- and
composite resins had good nano-hybrids because both their
three-body wear resistance similar to microstructure and mechanical
that of the amalgam. properties tend to be
similar.