Dental Abfractions and Their Treatment

Dental abfractions are tiny notches or grooves that can develop near the gum line on the surface of teeth. These small lesions are losses of tooth structure and they are also called non-carious cervical lesions (NCCL). They are the result from a combination of factors, including toothbrush abrasion, grinding, or clenching, leading to the enamel wearing away. Abfractions are typically seen as V-shaped indentation, and they can cause tooth sensitivity and cosmetic concerns.

Treatment for dental abfractions depends on the severity of the condition. In mild cases, where the damage is limited to the enamel, a dentist may recommend lifestyle modifications to prevent further abrasion, such as using a softer toothbrush or addressing teeth grinding habits. Additionally, fluoride treatments or desensitizing toothpaste may be suggested to alleviate sensitivity.

For more advanced abfractions that involve tooth erosion of both the enamel and underlying dentin, restorative procedures may be necessary. Dental bonding, where a tooth-colored resin is applied to the affected area, can restore the tooth's appearance and protect it from further damage. In cases where the abfraction is deeper, a dental filling or crown may be required to strengthen the tooth and prevent further deterioration.

Prevention is crucial in managing dental abfractions. Maintaining good oral hygiene practices, using a soft toothbrush, and addressing teeth grinding can help minimize the risk of developing these notches. Regular dental check-ups are essential for early detection and intervention.

Dr. Herbert Birnbaum and his team of dental hygienist know how to identify and modify risk factors for abfractions. If you have tooth sensitivity and you've noticed a lesion starting to form, make sure to book your appointment today to decide the best treatment plan for your smile.


Contact Dr. Birnbaum today at (617) 965-1400 or book your appointment for your professional dental checkup or cleaning today.

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Treatment of Hypersensitive Teeth

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Why Insurance Should Not Dictate Dental Treatment