Sunday 12 January 2020

Abrasion

In simple words, Abrasion is loss of tooth structure due to foreign substances , like heavy brushing, hard bristels. Abrasion occours in the cervical region of tooth

Etiology

  • Faulty oral hygiene practice 
    • Horizontal brushing 
    • Excessive forces
  • Quality of toothbrush 
  • pH and amount of dentifrice used 
  • Ill-fitting clasps of partial dentures cause localised abrasion lesions
  • Fiction from toothpicks and interproximal brushes
  • Tobacco Chewing

Treatment

We need to take careful consideration of aetiology and progression of the condition. That means, correct diagnosis is the prerequisite for the management of the lesion.
  • If the lesion is localized and not interfering with the physiological function of the stomatognathic system = It may be restored 
  • If the abrasion is generalized and substantial = the habit should be discontinued and controlled
  • If teeth are sensitive = use Flouride application 
  • If it’s class V lesion = Restoration with GIC
  • If lesion involves a none conscious area in the posterior teeth = use metallic restorationon

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