Non-carious cervical lesions (NCCL): a review of the literature

Authors

DOI:

https://doi.org/10.33448/rsd-v12i5.41876

Keywords:

Neck of the tooth; Dental accessories; Dental erosion; Dental abrasion; Dental abfraction; Non-carious cervical lesions.

Abstract

Objective: The purpose of this literature review was to review and analyze the most important aspects, covering topics such as: Clinical characteristics, etiology, prevalence and treatment of non-carious cervical lesions (NCCL). Background: NCCL is defined as “the pathological loss of hard tooth substance caused by biomechanical loading forces; such loss is the result of flexing and degradation of enamel and/or dentin at some location distant from the actual point of loading. Caused by the synergistic action of the etiological mechanisms: erosion, abrasion and abfraction. In addition to risk factors such as: decreased pH and salivary quantity, dental morphology, dietary habits and inadequate brushing. The prevalence of NCCL increases with age and they are found mostly on the vestibular surfaces, with premolars and canines being the most affected teeth. The treatment ranges from clinical preventive therapy that focuses on modifying eating habits, stimulating salivary flow, using an appropriate brushing technique and intervention with other branches such as nutrition and psychology. Whereas, clinical therapy is based on diagnosis and is focused on reducing hypersensitivity, improving aesthetics, and restoring lost dental tissue. Material and Methods: A search of the literature related to the etiology, clinical characteristics will be developed. prevalence and treatment of NCCL in different databases. Conclusions: NCCLs are a frequent pathology of a multifactorial nature, where a correct diagnosis is essential for its therapeutic approach.

References

Aaron, G. M. (2004). The prevalence of non-carious cervical lesions in modern and ancient American skulls: lack of evidence for an occlusal etiology. Bauersmiles.com. de https://www.bauersmiles.com/wp-content/uploads/2015/10/NCCL-Native-Americans.pdf.

Abrahamsen, T. C. (2005). The Worn Dentition - Pathognomonic Patterns of Abrasion and Erosion. International Dental Journal. 55(4 SUPPL. 1): 268–76. 10.1111/J.1875-595X.2005.TB00064.X.

Aubry, M. B., Mafart, B. D. & Brau, J. J. (2003). Brief Communication: Study of Noncarious Cervical Tooth Lesions in Samples of Prehistoric, Historic, and Modern Populations from the South of France. American Journal of Physical Anthropology. 121(1): 10–14. 10.1002/AJPA.10210.

Aw, T. C., Xavier Lepe, Glen H. Johnson, & Lloyd Mancl. (2002). Characteristics of Noncarious Cervical Lesions: A Clinical Investigation. Journal of the American Dental Association 133(6):725–33. 10.14219/jada.archive.2002.0268.

Bartlett, D. W., & Shah, P. (2006). A critical review of non-carious cervical (wear) lesions and the role of abfraction, erosion, and abrasion. Journal of dental research, 85(4), 306–312. https://doi.org/10.1177/154405910608500405.

Borcic, J., Anic, I., Urek, M. M., & Ferreri, S. (2004). The prevalence of non-carious cervical lesions in permanent dentition. Journal of oral rehabilitation, 31(2), 117–123. https://doi.org/10.1046/j.0305-182x.2003.01223.x.

Cairo, F., et al. (2020). Coronally Advanced Flap and Composite Restoration of the Enamel with or without Connective Tissue Graft for the Treatment of Single Maxillary Gingival Recession with Non-Carious Cervical Lesion. A Randomized Controlled Clinical Trial. Journal of Clinical Periodontology 47(3):362–71. 10.1111/JCPE.13229.

Duangthip, D., Man, A., Poon, P. H., Lo, E. C. M., & Chu, C. H. (2017). Occlusal stress is involved in the formation of non-carious cervical lesions. A systematic review of abfraction. American journal of dentistry, 30(4), 212–220.

Femiano, F., Femiano, R., Femiano, L., Nucci, L., Minervini, G., Antonelli, A., Bennardo, F., Barone, S., Scotti, N., Sorice, V., & Sorice, R. (2020). A new combined protocol to treat the dentin hypersensitivity associated with non-carious cervical lesions: A randomized controlled trial. Applied Sciences (Basel, Switzerland), 11(1), 187. https://doi.org/10.3390/app11010187.

Ferro, K. J., Morgano, S. M., Editor Carl Driscoll, C. F., Freilich, M. A., Guckes, A. D., Knoernschild, K. L., & McGarry, T. J. (2017). The glossary of prosthodontic terms Ninth Edition Editorial Staff Glossary of Prosthodontic Terms Committee of the Academy of Prosthodontics. https://doi.org/10.1016/j.prosdent.2016.12.001.

Goodacre, C. J., Eugene Roberts, W., & Munoz, C. A. (2023). Noncarious cervical lesions: Morphology and progression, prevalence, etiology, pathophysiology, and clinical guidelines for restoration. Journal of Prosthodontics, 32(2), e1–e18. https://doi.org/10.1111/JOPR.13585.

Grippo, J. O., Simring, M., & Coleman, T. A. (2012). Abfraction, abrasion, biocorrosion, and the enigma of noncarious cervical lesions: a 20-year perspective: Abfraction, abrasion, biocorrosion, and the enigma of nccls. Et al [Journal of Esthetic and Restorative Dentistry], 24(1), 10–23. https://doi.org/10.1111/j.1708-8240.2011.00487.x.

Hayashi, M., Kubo, S., Pereira, P. N. R., Ikeda, M., Takagaki, T., Nikaido, T., & Tagami, J. (2022). Progression of non-carious cervical lesions: 3D morphological analysis. Clinical Oral Investigations, 26(1), 575–583. https://doi.org/10.1007/S00784-021-04036-X/METRICS.

Iordanishvili, A. K., D. A. Chernyj, V. v. Yankovskij, A. K. Orlov, & K. O. Drobkova. (2015). Prevalence of Noncarious Hard Dental Tissue Lesions in Adults at Various Age Periods. Advances in Gerontology 5(4):298–302. 10.1134/S2079057015040098.

Jiang, H., Du, M. Q., Huang, W., Peng, B., Bian, Z., & Tai, B. J. (2011). The prevalence of and risk factors for non-carious cervical lesions in adults in Hubei Province, China. Community Dental Health, 28(1), 22–28. https://pubmed.ncbi.nlm.nih.gov/21485230//.

Kaidonis, J. A., Richards, L. C., & Townsend, G. C. (1993). Nature and frequency of dental wear facets in an Australian Aboriginal population. Journal of Oral Rehabilitation, 20(3), 333–340. https://doi.org/10.1111/J.1365-2842.1993.TB01615.X.

Kolak, V., Pešić, D., Melih, I., Lalović, M., Nikitović, A., & Jakovljević, A. (2018). Epidemiological investigation of non-carious cervical lesions and possible etiological factors. Journal of Clinical and Experimental Dentistry, 10(7), e648–e656. https://doi.org/10.4317/jced.54860.

Lai, Z. Y., Zhi, Q. H., Zhou, Y., & Lin, H. C. (2015). Prevalence of non-carious cervical lesions and associated risk indicators in middle-aged and elderly populations in Southern China. The Chinese journal of dental research: the official journal of the Scientific Section of the Chinese Stomatological Association (CSA), 18(1), 41–50.

Levitch, L. C., Bader, J. D., Shugars, D. A., & Heymann, H. 0. (1994). Non-carious cervical lesions. In J. Dent 22 (4), 195–207. https://doi.org/10.1016/0300-5712(94)90107-4.

López-Frías, F. J., Castellanos-Cosano, L., Martín-González, J., Llamas-Carreras, J. M., & Segura-Egea, J. J. (2012). Clinical measurement of tooth wear: Tooth wear indices. Journal of Clinical and Experimental Dentistry, 4(1), e48-53. https://doi.org/10.4317/jced.50592.

Lussi A, & Schaffner M. (2000) Progression of and risk factors for dental erosion and wedge-shaped defects over a 6-year period. Caries Res. 34(2):182–7. https://pubmed.ncbi.nlm.nih.gov/10773637/.

Michael, J. A., Townsend, G. C., Greenwood, L. F., & Kaidonis, J. A. (2009). Abfraction: Separating fact from fiction. In Australian Dental Journal 54(1), 2–8). https://doi.org/10.1111/j.1834-7819.2008.01080.x.

Miranda, D. R., Pereira, C. S., & Reis, L. Q. C. (2021). Treatment of dentin hypersensitivity in non-carious cervical lesions: a review of the literature. Research, Society and Development, 10(15), e86101522703. https://doi.org/10.33448/rsd-v10i15.22703.

Molina, A. M., Pesántez, M. J, & Tamariz, P. E. (2021). Prevalence of Non-Carious Cervical Lesions in Ecuador. A ReviewoftheLiterature.RevistaOACTIVAUCCuenca6(2):1–6. https://oactiva.ucacue.edu.ec/index.php/oactiva/article/view/553/664.

Nascimento, M. M., Dilbone, D. A., Pereira, P. N., Duarte, W. R., Geraldeli, S., & Delgado, A. J. (2016). Abfraction lesions: etiology, diagnosis, and treatment options. Clinical, cosmetic and investigational dentistry, 8, 79–87. https://doi.org/10.2147/CCIDE.S63465.

Pecie, R., Krejci, I., Garcia-Godoy, F., & Bortolotto, T. (2011). Noncarious cervical lesions--a clinical concept based on the literature review. Part 1: prevention. American Journal of Dentistry, 24(1), 49–56. https://pubmed.ncbi.nlm.nih.gov/21469407/.

Pini-Prato, G., Franceschi, D., Cairo, F., Nieri, M., & Rotundo, R. (2010). Classification of dental surface defects in areas of gingival recession. Journal of periodontology, 81(6), 885–890. https://doi.org/10.1902/jop.2010.090631.

Que, K., B. Guo, Z. Jia, Z. Chen, J. Yang, & P. Gao. (2013). A Cross-Sectional Study: Non-Carious Cervical Lesions, Cervical Dentine Hypersensitivity and Related Risk Factors. Journal of Oral Rehabilitation 40(1):24–32. 10.1111/J.1365-2842.2012.02342.X.

Rees, J. S., M. Hammadeh, & D. C. Jagger. (2003). Abfraction Lesion Formation in Maxillary Incisors, Canines and Premolars: A Finite Element Study. European Journal of Oral Sciences 111(2):149–54. 10.1034/J.1600-0722.2003.00018.X.

Rother, E. T. (2007). Revisão sistemática X revisão narrativa. Acta Paulista de Enfermagem, 20(2), v–vi. https://doi.org/10.1590/s0103-21002007000200001.

Santamaria, M. P., Mathias-Santamaria, I. F., Ferraz, L. F. F., Casarin, R. C. V., Romito, G. A., Sallum, E. A., Pini-Prato, G. P., & Casati, M. Z. (2021). Rethinking the decision-making process to treat gingival recession associated with non-carious cervical lesions. Brazilian oral research, 35(Supp 2), e096. https://doi.org/10.1590/1807-3107bor-2021.vol35.0096.

Schlueter, N., Amaechi, B. T., Bartlett, D., Buzalaf, M. A. R., Carvalho, T. S., Ganss, C., Hara, A. T., Huysmans, M. D. N. J. M., Lussi, A., Moazzez, R., Vieira, A. R., West, N. X., Wiegand, A., Young, A., & Lippert, F. (2020). Terminology of Erosive Tooth Wear: Consensus Report of a Workshop Organized by the ORCA and the Cariology Research Group of the IADR. Caries research, 54(1), 2–6. https://doi.org/10.1159/000503308.

Schlueter, N., Hardt, M., Klimek, J., & Ganss, C. (2010). Influence of the digestive enzymes trypsin and pepsin in vitro on the progression of erosion in dentine. Archives of Oral Biology, 55(4), 294–299. https://doi.org/10.1016/j.archoralbio.2010.02.003.

Shellis, R. P., Ganss, C., Ren, Y., Zero, D. T., & Lussi, A. (2011). Methodology and models in erosion research: discussion and conclusions. Caries research, 45 Suppl 1, 69–77. https://doi.org/10.1159/000325971.

Shenoy, R. P., Salam, T. A. A., & Varghese, S. (2019). Prevalence and clinical parameters of cervical abrasion as a function of population, age, gender, and toothbrushing habits: A systematic review. World Journal of Dentistry, 10(6), 470–480. https://doi.org/10.5005/jp-journals-10015-1685.

Taji, S., & Seow, W. K. (2010). A literature review of dental erosion in children. Australian dental journal, 55(4), 358–475. https://doi.org/10.1111/j.1834-7819.2010.01255.x.

Teixeira, D. N. R., Thomas, R. Z., Soares, P. V., Cune, M. S., Gresnigt, M. M. M., & Slot, D. E. (2020). Prevalence of noncarious cervical lesions among adults: A systematic review. Journal of dentistry, 95, 103285. https://doi.org/10.1016/j.jdent.2020.103285.

Walter, C., Kress, E., Götz, H., Taylor, K., Willershausen, I., & Zampelis, A. (2014). The anatomy of non-carious cervical lesions. Clinical oral investigations, 18(1), 139–146. https://doi.org/10.1007/s00784-013-0960-0.

Wood, I., Jawad, Z., Paisley, C., & Brunton, P. (2008). Non-carious cervical tooth surface loss: a literature review. Journal of dentistry, 36(10), 759–766. https://doi.org/10.1016/j.jdent.2008.06.004.

Young, W. G., & Khan, F. (2002). Sites of dental erosion are saliva-dependent. Journal of oral rehabilitation, 29(1), 35–43. https://doi.org/10.1046/j.1365-2842.2002.00808.x.

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Published

28/05/2023

How to Cite

QUINCHIGUANO CARAGUAY, M. A.; AMOROSO CALLE, E. E. .; IDROVO TINTA, T. S. .; GIL POZO, J. A. . Non-carious cervical lesions (NCCL): a review of the literature. Research, Society and Development, [S. l.], v. 12, n. 5, p. e26612541876, 2023. DOI: 10.33448/rsd-v12i5.41876. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/41876. Acesso em: 22 dec. 2024.

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Health Sciences