Abfractions are V-shaped notches at the junction of the tooth crown and root that are non-carious – that is, not caused by decay. The etiology (cause) of these notches is not completely understood, but the most common theory is that they are due to the destruction of enamel caused by the flexing of individual teeth.
Once we determine the etiology of the abfraction, we can determine the appropriate treatment. Our best treatment for abfractions is diagnosis and prevention.
For grinding and Clenching
For Crooked Teeth/Misaligned Bite
Diet modification! Avoid overly acidic, sugary foods, and rinse with water after their consumption. Early, preventive treatment in one of the above forms should be implemented as soon as possible. Immediate adjustments to your home care should be initiated as necessary. This includes brushing with a soft-bristled toothbrush or Sonicare electronic toothbrush and sensitivity toothpaste.
Since the root is not designed to be exposed, notching will typically occur shortly after exposure. Once the root notches out 2mm, we become concerned about the overall strength of the tooth. In addition to relieving the stresses on the teeth, we recommend filling in the notch with a tooth-colored, composite material to prevent further notching.
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