Clinicoetiological and therapeutic characteristics in teeth with non-carious cervical lesions and epidemiological indicators

Abstract

Introduction: non-carious cervical lesions are frequent causes of pain, aesthetic damage and failure of restorations. They are associated with dietary, hygienic and behavioral habits, lifestyles, age and ignorance of the causative agent, and they constitute a growing problem in stomatology.

Objective: to describe the basic clinical and therapeutic characteristics in teeth with non-carious cervical lesions, and indicators for their epidemiological analysis.

Methods: a descriptive bibliographic review was carried out through a search in the databases available in the Virtual Health Library, MEDLINE, Lilacs, CUMED, BBO-Odontology, SciELO, EBSCO and the Academic Google search engine, in the years 2009 to 2018, in Spanish, English and Portuguese languages. 365 articles were obtained; of them, 40 selected because they provided the necessary information.

Development: although erosion, abrasion and abfraction injuries are considered multifactorial processes, there are typical differences in the damage caused to the tooth surface when it is caused by acids, friction and pathological dental loads, which allow each injury to be identified. Restorative materials must meet requirements according to the agent causing the damage. Multidisciplinary treatments must be applied to eliminate the causes of the injuries. Different indices are presented for epidemiological studies.

Conclusions: the clinical identification is based on the morphological form of the lesion, associated with the risk factors that allow determining the diagnosis, selecting the material and technique according to the necessary resistance according to the cause, and the instrument for the analysis of non-carious lesions in its epidemiological study.