Palabras clave
LCNC, Erosión, Abrasión, Abfracción
Cómo citar
Lesiones no cariosas del cuello dentario:: patología moderna, antigua controversia. (2019). Odontoestomatología, 11(12), 12-27. https://www.odon.edu.uy/ojs/index.php/ode/article/view/209
Resumen
Las lesiones no cariosas del cuello dentario (LCNC) son consideradas defectos frecuentes caracterizados por una marcha insidiosa y una etiología controversial. En un principio su origen fue atribuido a lesiones de erosión ácida, endógena o exógena, y a lesiones mecánico-abrasivas por cepillado exagerado o abusivo.
En la década de los ochenta con el objetivo de dar solución a las discrepancias respecto a su origen, surge la Teoría Flexural. Esta propone como etiología primaria de las lesiones de cuña a las fuerzas oclusales parafuncionales. Las mismas concentrando estrés tensional en el cuello del diente provocarían la microfractura cristalina del tejido duro en esa zona crítica: lesiones por abfracción.
Experiencias posteriores han hecho surgir nuevos postulados y han aparecido corrientes que reubican a las fuerzas oclusales en un papel menos relevante, quizás como cofactor de las otras dos causales. Estas a su vez actuarían asociadas sinérgicamente en el amplio contexto de la pérdida de tejido dentario por causas no cariosas o traumáticas, estudiadas como pérdida de superficie dentaria (PSD)
Por otro lado, evidencias antropológicas señalan que las lesiones típicas de cuello serían una afección de las poblaciones modernas y ligadas al estilo de vida occidental.
Hasta el momento y de acuerdo a lo dicho, la etiología de las LCNC y particularmente de los defectos en cuña todavía está en discusión.
Referencias
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10. Xhonga FA, Valdmanis S. Geographic comparisons of the incident of dental erosion: a two centre study. J O Rehab 1983; 10: 269-77.
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47. Davis W. B. Cervical enamel: a danger zone. J O Rehab ; 1979; 6: 385-86.
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50. Kornfeld B. - Preliminary report of clinical observations of cervical erosions, a suggested analysis of the cause and treatment for its relief. Dent Items of Interest 1932; 54(12):905-9.
51. Sognnaes R. F. - Mechanisms of hard tissue destruction. Washington, D.C.: Am Ass for the Advancement Sc 1963; 75:91-153.
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2. Gallien G.S, Kaplan I., Owens B. H. A review of noncarious dental cervical lesions. Continuing Education. Compendium 1994 nov; 15: (11) 1.366-74.
3. Xhonga FA, Wolcott R. B. Sognnaes R. F. Dental erosion. II. Clinical measurements of dental erosion progress. J Am Dent Assoc 1972 March; 84: 577-82.
4. Xhonga FA, Sognnaes R. F. Dental erosion: progress of erosion measured clinically after various fluoride applications. J Am Dent Assoc 1973 nov; 87: 1223-28.
5. Bader J.D., Scurria M.S., Shugars D.A., Heymann H. O. Case-control study of non-carious cervical lesion. Community Dent and O Epid 1966; 24: 286-91.
6. Yap a. U. J., Neo J. C. L. Non-carious cervical tooth loss. Part 2: Management. Restorative Dentistry Dental Update 1995 nov; 364-68.
7. Ost S. Abrasión, atricción y erosión: la dentición como sistema tribológico (I). Quint. (Ed. esp.) 2006; 19 (7): 410-19.
8. Ost S. Abrasión, atricción y erosión: la dentición como sistema tribológico (II). Quint. (Ed. esp.) 2006; 19 (8): 475-83.
9. Davies S. J., Gray R. J. M., Qualtrough A. J. E. Management of tooth surface loss. Brit. Dent. J. Jan 12-2002; 192: 11-23.
10. Xhonga FA, Valdmanis S. Geographic comparisons of the incident of dental erosion: a two centre study. J O Rehab 1983; 10: 269-77.
11. Rob N.D., Smith B. G. N., Geidrys-Leeper E. The distribution of erosion in the dentitions of patients with eating disorders. Br Dent J 1995 march; 178: 171-175.
12. Bevenius J., L’Estrange P., Animar-Mansson B. Erosion: guide lines for the general practitioner. Aust Dent J 1988; 33 (5): 407-11.
13. Bergstrom J., Eliasson S. Cervical abrasion in relation to toothbrushing and periodontal health. Scand J Dent Res 1988 Oct; 96(5): 405-11.
14. Khan F., Young W. G., Sabih S., Daley T.J. Dental cervical lesions associated with occlusal erosion and attrition. Aust Dent J 1999; 44 (3): 176-86.
15. Telles D., Pegoraro F. L., Pereira J.C. Prevalence of noncarious cervical lesions and their relation to oclusal aspects: a clinical study. J Esthetic Dent 2000; 12 (1): 10-15.
16. Young W. G., Khan F. Sites of dental erosion are saliva-dependent. J O Rehab 2002; 29:35-43
17. Brady, J. M., Woody, RD. Scanning microscopy of cervical erosion. J Am Dent Ass 1977; 94:.726-29.
18. Schroeder H. E., Scherle W.F. Cemento-enamel junction- revisited. J Period Res 1988; 23: 53-59.
19. Grippo J. O., Simring M. Authors’ response. Letters. J Am Dent Assoc 1995 sep; 126: 1208-10.
20. Linkosalo E., MarKKanen H. Dental erosions in relation to lactovegetarian diet. Scand J Dent Res 1885; 93: 436-41.
21. Imfeld T. Dental erosion classification and links. Eur J Oral Sci 1996; 104: 151-55.
22. Lussi A., Schaffner M., HotZ P, Suter P.- Epidemiology and risk factors of wedge-shaped defects in a Swiss population. Schweiz Monatsschr Zahnmed 1993; 103:276-80.
23. Levitch L.C., Bader J.D., Shugars D.A., Heymann H. O. Non-carious cervical lesions. J Dent 1994; 22:195-207.
24. Thylstrup A., FeJersKoV O. Caries. Ed. Doyma 1988. Barcelona. Ps. 150-96
25. Lussi A. Dental Erosion. From Diagnosis to therapy. Copyright 2006, Augusta. Monographs in Oral Science, (Vol 20).
26. Lussi A., Schaffner M., Progression of and risk factors for dental erosion and Wedge-shaped defects over a 6-year period. Caries Res 2000;34:182-87
27. Shaw L., Smith A. Erosion in children: an increasing clinical problem Dent Update 1994; 103-06.
28. Davis W. B., Winter P. J. The effect of Abrasion on enamel and dentine after exposure to dietary Acid. Brit Dent 1980; 148: 253-56.
29. Grippo J. O., Simring M., Schreiner S. Attrition, Abrasion, Corrosion and Abfraction revisited. A new perspective on tooth surface lesions. J Am Dent Assoc 2004 Aug; 135: 1109-118.
30. Miller N., Penaud J., Ambrosini P., VisÓn-boutellieZ C., BriaÇon S. Analysis of etiologic factors and periodontal conditions involved with 309 abreactions. J Clin Periodontol 2003; 30: 828-32.
31. Padbury A.D., Ash M. Abrasion caused by three methods of tooth brushing. J Periodontol 1974; 45: 434 -38.
32. Radentz W. H., Barnes G. P., Cutright D. E. A survey of factors possibly associated with cervical abrasion of tooth surfaces. J Periodontol. 1976; 47:148-54.
33. Saxton C. A., Cowell C. R. Clinical investigation of the effects of dentifrices on dentine wear at the cemento-enamel junction. J Am Dent Assoc 1981; 102, 38-43.
34. Dzakovich J. J., OslaK R.R. In Vitro reproduction of non carious cervical lesions. J Prosthet Dent 2008 Jul; 100: 1-10.
35. Sandholm L., Niemi M., Ainamo J. - Identification of soft tissue brushing lesions. A clinical and scanning electron microscopic study. J Clin Periodontol 1982; 9:397-01.
36. Khocht A., Simon G., Person Ph., Denepitiya J. L.- Gingival recession in relation to history of hard toothbrush use. J Periodontol 1993; 64:900-05.
37. Lindhe J. et al Periodontología Clínica e Implantología Odontológica. Edit. Méd. Panam. (4º ed.) 2005, ps. 368-82
38. LÖe H., Ánerud Á, Boysen H. The natural history of periodontal disease in man: Prevalence, severity, and extent of gingival recession. J Periodontol 1992; 63: 489-95.
39. Smith R. G. –Gingival recession. Reappraisal of an enigmatic condition and a new index for monitoring. J Clin Periodontol 1997; 24:201-05.
40. WearhauG J. The angular and its relationships to trauma groom occlusion and downgromth of sub gingival plane. J Clin Periodontol 1979; 6: 61-82.
41. Phaneuf E. A., Harrington J. H., Dale P., StKlar G. Automatic tooth brush: a new reciprocating action. J Ame Dent Ass 1962; 65: 12-25.
42. Barbakow F., Lutz F., Imfeld T. Abrasión relativa de la dentina causada por dentífricos y pastas de profilaxis: consecuencias para los clínicos, fabricantes, y pacientes. Quint. (ed. esp.) 1988; 1 (1): 9-14.
43. Zero D. T. Etiology of dental erosion- extrinsic factors. Oral Sc 1996; 104: 162-77.
44. Lee W. C., EaKle W. S. Possible role of tensile stress in the aetiology of cervical erosive lesions of teeth. J Prosthet Dent 1984; 52 (3):374-80.
45. Mccoy G. The etiology of gingival erosion. J O Implant 1982; 10:361-62.
46. Spranger H. Investigación sobre la génesis de lesiones “en cuña” en la región cervical de los dientes. Quint. (ed. esp.). 1996; .9 (5): 298-03.
47. Davis W. B. Cervical enamel: a danger zone. J O Rehab ; 1979; 6: 385-86.
48. Grippo J. O., Simring M. Dental “erosion” revisited. Clinical practice. J Am Dent Assoc, may 1995; 126:619-30.
49. Bird C. K. - Erosion and abrasion of natural teeth: The remedy or correlation of this conditions. Dent Cosmos 1931; 7(3):1.204-8.
50. Kornfeld B. - Preliminary report of clinical observations of cervical erosions, a suggested analysis of the cause and treatment for its relief. Dent Items of Interest 1932; 54(12):905-9.
51. Sognnaes R. F. - Mechanisms of hard tissue destruction. Washington, D.C.: Am Ass for the Advancement Sc 1963; 75:91-153.
52. Heymann H. O., SturteVant J. R., Bayne S., Wilder A.D., Sluder T. B., Brunson W. D. Examining tooth flexure effects on cervical restorations: two-years clinical study. J Am Dent Assoc 1991 may; 122: .41-47.
53. Mc Coy G. Dental compression syndrome: a new look al an old disease. J O Implant 1999; 25, (1):35-49.
54. Osborn-Smith KL, Burke FJT, Wilson NHF. The aetiology of the non-carious cervical lesion. Int Dent J 1999; 439(3): 139-143
55. Palamara D., Palamara J. E. A., Tyas M. J., Messer H. H. Strain patterns in cervical enamel of teeth subjected to occlusal loading.. Dent Mat 2000 April; 16: 412-19.
56. Rees J. S. - The effect of variation in occlusal loading on the development of abfraction lesions: a finite element study. J Oral Rehab 2002; 29: 188-93.
57. Barlett D. W., Shah P. A critical review of a non-carious cervical (wear) Lesions and the role of Abfraction, erosion, and Abrasion. J Dent Res 2006; 85 (4): 306-12.
58. Litonjua L.A., Andreana S., Bush P., ToBÍas T., Cohen R. Noncarious cervical Lesions and Abfractions. A re-evaluation. J Am Dent Assoc, Jul 2003; 134: 845-49.
59. Braem M., Lambrechts P., Vacherie G. Stress-induced cervical lesions. J Prosthet Dent 1992 may; 67 (5): 718-22.
60. Lee W. C., EaKle W. Stress-induced cervical lesions: Review of advances in the past, 10 years. J Prosthet Dent 1996 may; 75 (5): 487-94.
61. Aw T. C., Lepe X., Jonson G. H., Mancl Ll. Characteristics of non carious cervical lesions. A clinical investigation. J Am Dent Assoc, 2002 June; 133: 725-37.
62. Smith W. A. J., Marchan S., RafeeK R. N. The prevalence and severity of non-carious cervical lesions in a group of patients attending a university hospital in Trinidad. J O Rehab 2008; 35: 128-34.
63. Pintado M. R., De Long R., Ko C. SaKaguchi R. L., Douglas W. Correlation of noncarious cervical lesions size and occlusal wear in a single adult over a 14-year time span. J Prosthet Dent 2000 oct; 84 (4) 436-43.
64. Staninec M., Nalla R. K., Milton J. F., Ritchie R. O., Watanabe L. G., NoNomua, et al. Dentin erosion simulation by cantilever Beam fatigue and ph change. J Dent Res. Jun. 2005 ; 84 (4): 371-75.
65. Whitehead S. Wilson N., Watts D. Development of noncarious cervical notch Lesions in Vitro. J Esthet Den 1999; 11 (6): 332-37.
66. Kuroe T., Itoh H., Caputo A., Konuma M. La biomecánica de las lesiones cervicales y su restauración. Quint. (ed. es.) 2001; 14 (3): 141-48.
67. Litonjua L., Andreana S., Bush P., Tobias Th. Wedged cervical lesions produced by toothbrushing. Am J Dent 2004; 17: 237-40.
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