A Etiologia da Lesão Cervical não Cariosa: Um Novo Desafio para o Cirurgião-Dentista do Século XXI The Etiology of Noncarius Cervical Lesions: a New Challenge for the 21ST Century Dentist
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Publicado:
Mai 12, 2021
Palavras-chave:
abrasão dentária, atrito dentário, bruxismo, desgaste dentário, erosão dentária, sensibilidade da dentina
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Resumo
O termo Lesões Cervicais Não Cariosas (LCNCs) refere-se à perda de tecido dentário duro na Junção Cemento-Esmalte (JCE), cuja etiologia não está relacionada com o envolvimento bacteriano. A origem e a progressão desses defeitos cervicais são consideradas multifatoriais, sendo atribuídas a três fatores principais, sendo eles: abfração, biocorrosão e abrasão. Tais fatores podem estar combinados e associados a eventos de força excessiva aplicada durante a escovação, juntamente com a abrasividade de dentifrícios, hábitos alimentares e/ou parafuncionais. Essas lesões podem ter morfologias diferentes de acordo com seu fator etiológico principal, podendo se apresentar em forma de cunha, oval ou arredondada. O objetivo deste trabalho foi realizar uma revisão de literatura a fim de apresentar os desafios do Cirurgião-Dentista na descoberta dos diferentes fatores etiológicos das LCNCs. O desafio em questão se dá pelo estudo da combinação desses diversos fatores, bem como a realização de um diagnóstico preciso, fazendo-se necessário o conhecimento adequado da etiologia a fim de prevenir futuras novas lesões, estagnar as existentes e assim, capacitar o Cirurgião- Dentista a realizar um tratamento eficaz e longínquo das LCNCs. No entanto, ainda existem muitas controvérsias na literatura, tornando necessária a elaboração de mais estudos para elucidar a etiologia das LCNCs.
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Como Citar
de Sá Sppezapria, M., Elisa da Silva Nunes Gomes Miranda, M., & Regina da Silva Aguiar, T. (2021). A Etiologia da Lesão Cervical não Cariosa: Um Novo Desafio para o Cirurgião-Dentista do Século XXI. Revista Naval De Odontologia, 48(I), 41-49. https://doi.org/10.29327/25149.48.1-5
Seção
Revisões de Literatura
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Referências
1. Haralur SB, Alqahtani AS, AlMazni MS, Alqahtani MK. Association
of Non-Carious Cervical Lesions with Oral Hygiene Habits
and Dynamic Occlusal Parameters. Diagnostics (Basel). 2019
Apr 12;9(2):43.
2. Walter C, Kress E, Götz H, Taylor K, Willershausen I, Zampelis
A. The anatomy of non-carious cervical lesions. Clinical Oral
Investigations. 2014 Jan;18(1):139-146.
3. Amaral S, Abad E, Maia K, Weyne S, de Oliveira M, Tunãs I.
Lesões não cariosas: o desafio do diagnóstico multidisciplinar.
Arquivos Int. Otorrinolaringol. 2012 Mar;16(1):96-102.
4. Alvarez-Arenal A, Alvarez-Menendez L, Gonzalez-Gonzalez
I, Alvarez-Riesgo JA, Brizuela-Velasco A, deLlanos-Lanchares H.
Non-carious cervical lesions and risk factors: a case-control study.
J Oral Rehabil. 2019 Jan;46(1):65-75.
5. Khan F, Young WG, Shahabi S, Daley TJ. Dental cervical lesions
associated with occlusal erosion and attrition. Aust Dent J. 1999
Sep;44(3):176-86.
6. Senna P, Del Bel Cury A, Rösing C. Non-carious cervical lesions
and occlusion: a systematic review of clinical studies. J Oral
Rehabil. 2012 Jun;39(6):450-62.
7. Wood I, Jawad Z, Paisley C, Brunton P. Non-carious cervical
tooth surface loss: A literature review. J Dent. 2008
Oct;36(10):759-66.
8. Nascimento MM, Dilbone DA, Pereira PN, Duarte WR,
Geraldeli S, Delgado AJ. Abfraction lesions: etiology, diagnosis,
and treatment options. Clin Cosmet Investig Dent. 2016 May
3;8:79-87.
9. Soares PV, Zeola LF, Spini PHR, Machado AC, Pereira FA, Pereira
AG, et al. Lesões cervicais não cariosas e hipersensibilidade
dentinária: protocolos reabilitadores e estéticos. Pró-odonto
Estét. 2014;2(8):43-73.
10. Yoshizaki KT, Francisconi-dos-Rios LF, Sobral MAP, Aranha
ACC, Mendes FM, Scaramucci T. Clinical features and factors
associated with non-carious cervical lesions and dentin hypersensitivity.
J Oral Rehabil. 2017 Feb;44(2):112-8.
11. Dzakovich JJ, Oslak RR. In vitro reproduction of noncarious
cervical lesions. J Prosthet Dent. 2008 Jul;100(1):1-10.
12. Bartlett D. Etiology and prevention of acid erosion. CompendCompend
Contin Educ Dent. 2009 Nov-Dec;30(9):616-20.
13. Dawes C. What is the critical pH and why does a tooth
dissolve in acid? J Can Dent Assoc. 2003 Dec;69(11):722-4.
14. Grippo JO, Simring M, Coleman TA. Abfraction, abrasion,
biocorrosion, and the enigma of noncarious cervical lesions: a
20-year perspective. J Esthet Restor Dent. 2012 Feb;24(1):10-
23.
15. Grippo JO. Abfraction: a new classification of hard tissue
lesions of teeth. J Esthet Dent. 1991 Jan-Feb;3(1):14-9.
16. Grippo JO, Simring M, Schreiner S. Attrition, abrasion, corrosion
and abfraction revisited: a new perspective on tooth surface
lesions. J Am Dent Assoc. 2004 Aug;135(8):1109-18; quiz
1163-5.
17. Brandini DA, Trevisan CL, Panzarini SR, Pedrini D. Clinical
evaluation of the association between noncarious cervical lesions
and occlusal forces. J Prosthet Dent. 2012 Nov;108(5):298-
303.
18. Jakupovic S, Cerjakovic E, Topcic A, Ajanovic M, Prcic AK,
Vukovic A. Analysis of the abfraction lesions formation mechanism
by the finite element method. Acta Inform Med. 2014
Aug;22(4):241-5.
19. Igarashi Y, Yoshida S, Kanazawa E. The prevalence and morphological
types of non-carious cervical lesions (NCCL)
in a contemporary sample of people. Odontology. 2017
Oct;105(4):443-52.
20. Bartlett DW, Shah P. A Critical Review of Non-carious Cervical
(Wear) Lesions and the Role of Abfraction, Erosion, and
Abrasion. J Dent Res. 2006 Apr;85(4):306-12.
21. Soares PV, Souza LV, Veríssimo C, Zeola LF, Pereira AG, Santos-
Filho PC et al. Effect of root morphology on biomechanical
behaviour of premolars
associated with abfraction lesions and different loading types. J
Oral Rehabil. 2014 Feb;41(2):108-14.
22. Machado A, Soares C, Reis B, Bicalho A, Raposo L, Soares
P. Stress-strain Analysis of Premolars With Non-carious Cervical
Lesions: Influence of Restorative Material, Loading Direction
and Mechanical Fatigue. Oper Dent. 2017 May/Jun;42(3):253-
65.
23. Soares LG, Costa IR, Brum Júnior JS, Cerqueira WSB, Oliveira
ES, Douglas de Oliveira DW et al. Prevalence of bruxism in
undergraduate students. Cranio. 2017 Sep;35(5):298-303.
24. Serra-Negra JM, Aquino MS, Silva MES, Abreu MH, Silveira
RR. Tooth wear and sleep quality: A study of police officers and
non-police officers. Cranio. 2018 Jan;36(1):6-10.
25. Catelan A, Guedes APA, Santos PH. Erosão dental e suas implicações
sobre a saúde bucal. RFO UPF. 2010 Ago;15(1):83-6.
26. Sobral MAP, Luz MA, Gama-Teixeira A, Garone Netto N.
Influência da dieta líquida ácida no desenvolvimento de erosão
dental. Pesqui Odontol Bras. 2000 out./dez;14(4):406-10.
27. Soares PV, Tolentino AB, Coto NP. Corrosão Dentária em
Atletas: Fatores de Risco Associados ao estilo de vida. RevisãoCritica. Rev Assoc Psul Cir Dent 2018;72(4):624-30.
28. Järvinen VK, Rytömaa I, Heinonen OP. Risk factors in dental
erosion. J Dent Res. 1991 Jun;70(6):942-7.
29. Soares PV, Tolentino AB, Machado AC, Dias RB, Coto NP.
Sports dentistry: a perspective for the future. Rev. bras. educ. fís.
esporte. 2014 Jun; 28(2), 351-8.
30. Heasman PA, Holliday R, Bryant A, Preshaw PM. Evidence
for the occurrence of gingival recession and non-carious cervical
lesions as a consequence of traumatic toothbrushing. J Clin
Periodontol. 2015 Apr;42 Suppl 16:S237-55.
31. Bizhang M, Riemer K, Arnold WH, Domin J, Zimmer S. Influence
of Bristle Stiffness of Manual Toothbrushes on Eroded
and Sound Human Dentin—An In Vitro Study. PLoS One. 2016
Apr 12;11(4):e0153250.
32. Dyer D, Addy M, Newcombe RG. Studies in vitro of abrasion
by different manual toothbrush heads and a standard toothpaste.
J. Clin. Periodontol. 2000 Feb;27(2):99-103.
33. Litonjua LA, Andreana S, Bush PJ, Tobias TS, Cohen RE. Wedged
cervical lesions produced by toothbrushing. Am J Dent.
2004 Aug;17(4):237-40.
34. Carvalho TP, Gabri LM, Mattos VGG, Santos MM, Barreto
LPD. Hipersensibilidade dentinária associada a lesões cervicais
não cariosas:revisão de literatura. Rev Nav Odontol. 2020;
47(2):68-76.
of Non-Carious Cervical Lesions with Oral Hygiene Habits
and Dynamic Occlusal Parameters. Diagnostics (Basel). 2019
Apr 12;9(2):43.
2. Walter C, Kress E, Götz H, Taylor K, Willershausen I, Zampelis
A. The anatomy of non-carious cervical lesions. Clinical Oral
Investigations. 2014 Jan;18(1):139-146.
3. Amaral S, Abad E, Maia K, Weyne S, de Oliveira M, Tunãs I.
Lesões não cariosas: o desafio do diagnóstico multidisciplinar.
Arquivos Int. Otorrinolaringol. 2012 Mar;16(1):96-102.
4. Alvarez-Arenal A, Alvarez-Menendez L, Gonzalez-Gonzalez
I, Alvarez-Riesgo JA, Brizuela-Velasco A, deLlanos-Lanchares H.
Non-carious cervical lesions and risk factors: a case-control study.
J Oral Rehabil. 2019 Jan;46(1):65-75.
5. Khan F, Young WG, Shahabi S, Daley TJ. Dental cervical lesions
associated with occlusal erosion and attrition. Aust Dent J. 1999
Sep;44(3):176-86.
6. Senna P, Del Bel Cury A, Rösing C. Non-carious cervical lesions
and occlusion: a systematic review of clinical studies. J Oral
Rehabil. 2012 Jun;39(6):450-62.
7. Wood I, Jawad Z, Paisley C, Brunton P. Non-carious cervical
tooth surface loss: A literature review. J Dent. 2008
Oct;36(10):759-66.
8. Nascimento MM, Dilbone DA, Pereira PN, Duarte WR,
Geraldeli S, Delgado AJ. Abfraction lesions: etiology, diagnosis,
and treatment options. Clin Cosmet Investig Dent. 2016 May
3;8:79-87.
9. Soares PV, Zeola LF, Spini PHR, Machado AC, Pereira FA, Pereira
AG, et al. Lesões cervicais não cariosas e hipersensibilidade
dentinária: protocolos reabilitadores e estéticos. Pró-odonto
Estét. 2014;2(8):43-73.
10. Yoshizaki KT, Francisconi-dos-Rios LF, Sobral MAP, Aranha
ACC, Mendes FM, Scaramucci T. Clinical features and factors
associated with non-carious cervical lesions and dentin hypersensitivity.
J Oral Rehabil. 2017 Feb;44(2):112-8.
11. Dzakovich JJ, Oslak RR. In vitro reproduction of noncarious
cervical lesions. J Prosthet Dent. 2008 Jul;100(1):1-10.
12. Bartlett D. Etiology and prevention of acid erosion. CompendCompend
Contin Educ Dent. 2009 Nov-Dec;30(9):616-20.
13. Dawes C. What is the critical pH and why does a tooth
dissolve in acid? J Can Dent Assoc. 2003 Dec;69(11):722-4.
14. Grippo JO, Simring M, Coleman TA. Abfraction, abrasion,
biocorrosion, and the enigma of noncarious cervical lesions: a
20-year perspective. J Esthet Restor Dent. 2012 Feb;24(1):10-
23.
15. Grippo JO. Abfraction: a new classification of hard tissue
lesions of teeth. J Esthet Dent. 1991 Jan-Feb;3(1):14-9.
16. Grippo JO, Simring M, Schreiner S. Attrition, abrasion, corrosion
and abfraction revisited: a new perspective on tooth surface
lesions. J Am Dent Assoc. 2004 Aug;135(8):1109-18; quiz
1163-5.
17. Brandini DA, Trevisan CL, Panzarini SR, Pedrini D. Clinical
evaluation of the association between noncarious cervical lesions
and occlusal forces. J Prosthet Dent. 2012 Nov;108(5):298-
303.
18. Jakupovic S, Cerjakovic E, Topcic A, Ajanovic M, Prcic AK,
Vukovic A. Analysis of the abfraction lesions formation mechanism
by the finite element method. Acta Inform Med. 2014
Aug;22(4):241-5.
19. Igarashi Y, Yoshida S, Kanazawa E. The prevalence and morphological
types of non-carious cervical lesions (NCCL)
in a contemporary sample of people. Odontology. 2017
Oct;105(4):443-52.
20. Bartlett DW, Shah P. A Critical Review of Non-carious Cervical
(Wear) Lesions and the Role of Abfraction, Erosion, and
Abrasion. J Dent Res. 2006 Apr;85(4):306-12.
21. Soares PV, Souza LV, Veríssimo C, Zeola LF, Pereira AG, Santos-
Filho PC et al. Effect of root morphology on biomechanical
behaviour of premolars
associated with abfraction lesions and different loading types. J
Oral Rehabil. 2014 Feb;41(2):108-14.
22. Machado A, Soares C, Reis B, Bicalho A, Raposo L, Soares
P. Stress-strain Analysis of Premolars With Non-carious Cervical
Lesions: Influence of Restorative Material, Loading Direction
and Mechanical Fatigue. Oper Dent. 2017 May/Jun;42(3):253-
65.
23. Soares LG, Costa IR, Brum Júnior JS, Cerqueira WSB, Oliveira
ES, Douglas de Oliveira DW et al. Prevalence of bruxism in
undergraduate students. Cranio. 2017 Sep;35(5):298-303.
24. Serra-Negra JM, Aquino MS, Silva MES, Abreu MH, Silveira
RR. Tooth wear and sleep quality: A study of police officers and
non-police officers. Cranio. 2018 Jan;36(1):6-10.
25. Catelan A, Guedes APA, Santos PH. Erosão dental e suas implicações
sobre a saúde bucal. RFO UPF. 2010 Ago;15(1):83-6.
26. Sobral MAP, Luz MA, Gama-Teixeira A, Garone Netto N.
Influência da dieta líquida ácida no desenvolvimento de erosão
dental. Pesqui Odontol Bras. 2000 out./dez;14(4):406-10.
27. Soares PV, Tolentino AB, Coto NP. Corrosão Dentária em
Atletas: Fatores de Risco Associados ao estilo de vida. RevisãoCritica. Rev Assoc Psul Cir Dent 2018;72(4):624-30.
28. Järvinen VK, Rytömaa I, Heinonen OP. Risk factors in dental
erosion. J Dent Res. 1991 Jun;70(6):942-7.
29. Soares PV, Tolentino AB, Machado AC, Dias RB, Coto NP.
Sports dentistry: a perspective for the future. Rev. bras. educ. fís.
esporte. 2014 Jun; 28(2), 351-8.
30. Heasman PA, Holliday R, Bryant A, Preshaw PM. Evidence
for the occurrence of gingival recession and non-carious cervical
lesions as a consequence of traumatic toothbrushing. J Clin
Periodontol. 2015 Apr;42 Suppl 16:S237-55.
31. Bizhang M, Riemer K, Arnold WH, Domin J, Zimmer S. Influence
of Bristle Stiffness of Manual Toothbrushes on Eroded
and Sound Human Dentin—An In Vitro Study. PLoS One. 2016
Apr 12;11(4):e0153250.
32. Dyer D, Addy M, Newcombe RG. Studies in vitro of abrasion
by different manual toothbrush heads and a standard toothpaste.
J. Clin. Periodontol. 2000 Feb;27(2):99-103.
33. Litonjua LA, Andreana S, Bush PJ, Tobias TS, Cohen RE. Wedged
cervical lesions produced by toothbrushing. Am J Dent.
2004 Aug;17(4):237-40.
34. Carvalho TP, Gabri LM, Mattos VGG, Santos MM, Barreto
LPD. Hipersensibilidade dentinária associada a lesões cervicais
não cariosas:revisão de literatura. Rev Nav Odontol. 2020;
47(2):68-76.