Stress Analysis of Occlusal Forces in Canine Teeth and Their Role in the Development of Non-Carious Cervical Lesions: Abfraction

Non-carious cervical tooth lesions for many decades were attributed to the effects of abrasion and erosion mainly through toothbrush trauma, abrasive toothpaste, and erosive acids. However, though the above may be involved, more recently a biomechanical theory for the formation of these lesions has...

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Main Authors: Shihab A. Romeed, Raheel Malik, Stephen M. Dunne
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:International Journal of Dentistry
Online Access:http://dx.doi.org/10.1155/2012/234845
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author Shihab A. Romeed
Raheel Malik
Stephen M. Dunne
author_facet Shihab A. Romeed
Raheel Malik
Stephen M. Dunne
author_sort Shihab A. Romeed
collection DOAJ
description Non-carious cervical tooth lesions for many decades were attributed to the effects of abrasion and erosion mainly through toothbrush trauma, abrasive toothpaste, and erosive acids. However, though the above may be involved, more recently a biomechanical theory for the formation of these lesions has arisen, and the term abfraction was coined. The aim of this study was to investigate the biomechanics of abfraction lesions in upper canine teeth under axial and lateral loading conditions using a three-dimensional finite element analysis. An extracted human upper canine tooth was scanned by μCT machine (Skyscan, Belgium). These μCT scans were segmented, reconstructed, and meshed using ScanIP (Simpleware, Exeter, UK) to create a three-dimensional finite element model. A 100 N load was applied axially at the incisal edge and laterally at 45° midpalatally to the long axis of the canine tooth. Separately, 200 N axial and non-axial loads were applied simultaneously to the tooth. It was found that stresses were concentrated at the CEJ in all scenarios. Lateral loading produced maximum stresses greater than axial loading, and pulp tissues, however, experienced minimum levels of stresses. This study has contributed towards the understanding of the aetiology of non-carious cervical lesions which is a key in their clinical management.
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spelling doaj-art-1bdee5ec0c9c4ec38acceee12ff7e49b2025-08-20T02:01:50ZengWileyInternational Journal of Dentistry1687-87281687-87362012-01-01201210.1155/2012/234845234845Stress Analysis of Occlusal Forces in Canine Teeth and Their Role in the Development of Non-Carious Cervical Lesions: AbfractionShihab A. Romeed0Raheel Malik1Stephen M. Dunne2Department of Restorative Dentistry, King's College London Dental Institute, Denmark Hill Campus, Caldecot Road, London SE5 9RW, UKDepartment of Restorative Dentistry, Guy's Hospital, Tower Wing, Great Maze Pond, London SE1 9RT, UKDepartment of Restorative Dentistry, King's College London Dental Institute, Denmark Hill Campus, Caldecot Road, London SE5 9RW, UKNon-carious cervical tooth lesions for many decades were attributed to the effects of abrasion and erosion mainly through toothbrush trauma, abrasive toothpaste, and erosive acids. However, though the above may be involved, more recently a biomechanical theory for the formation of these lesions has arisen, and the term abfraction was coined. The aim of this study was to investigate the biomechanics of abfraction lesions in upper canine teeth under axial and lateral loading conditions using a three-dimensional finite element analysis. An extracted human upper canine tooth was scanned by μCT machine (Skyscan, Belgium). These μCT scans were segmented, reconstructed, and meshed using ScanIP (Simpleware, Exeter, UK) to create a three-dimensional finite element model. A 100 N load was applied axially at the incisal edge and laterally at 45° midpalatally to the long axis of the canine tooth. Separately, 200 N axial and non-axial loads were applied simultaneously to the tooth. It was found that stresses were concentrated at the CEJ in all scenarios. Lateral loading produced maximum stresses greater than axial loading, and pulp tissues, however, experienced minimum levels of stresses. This study has contributed towards the understanding of the aetiology of non-carious cervical lesions which is a key in their clinical management.http://dx.doi.org/10.1155/2012/234845
spellingShingle Shihab A. Romeed
Raheel Malik
Stephen M. Dunne
Stress Analysis of Occlusal Forces in Canine Teeth and Their Role in the Development of Non-Carious Cervical Lesions: Abfraction
International Journal of Dentistry
title Stress Analysis of Occlusal Forces in Canine Teeth and Their Role in the Development of Non-Carious Cervical Lesions: Abfraction
title_full Stress Analysis of Occlusal Forces in Canine Teeth and Their Role in the Development of Non-Carious Cervical Lesions: Abfraction
title_fullStr Stress Analysis of Occlusal Forces in Canine Teeth and Their Role in the Development of Non-Carious Cervical Lesions: Abfraction
title_full_unstemmed Stress Analysis of Occlusal Forces in Canine Teeth and Their Role in the Development of Non-Carious Cervical Lesions: Abfraction
title_short Stress Analysis of Occlusal Forces in Canine Teeth and Their Role in the Development of Non-Carious Cervical Lesions: Abfraction
title_sort stress analysis of occlusal forces in canine teeth and their role in the development of non carious cervical lesions abfraction
url http://dx.doi.org/10.1155/2012/234845
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AT stephenmdunne stressanalysisofocclusalforcesincanineteethandtheirroleinthedevelopmentofnoncariouscervicallesionsabfraction