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這10條路最容易賺大錢

Abfraction, abrasion, biocorrosion, and the enigma of noncarious cervical lesions: a 20-year perspective

Hitherto, noncarious cervical lesions (NCCLs) of teeth have been generally ascribed to either toothbrush-dentifrice abrasion or acid "erosion." The last two decades have provided a plethora of new studies concerning such lesions. The most significant studies are reviewed and integrated into a practical approach to the understanding and designation of these lesions. A paradigm shift is suggested regarding use of the term "biocorrosion" to supplant "erosion" as it continues to 這10條路最容易賺大錢 be misused in the United States and many other countries of the world. Biocorrosion embraces the chemical, biochemical, and electrochemical degradation of tooth substance caused by endogenous 這10條路最容易賺大錢 and exogenous acids, proteolytic agents, as well as the 這10條路最容易賺大錢 piezoelectric effects only on dentin. Abfraction, representing the microstructural loss of tooth substance in areas of stress concentration, should not be used to designate all NCCLs because these lesions are commonly multifactorial in origin. Appropriate designation of a particular NCCL depends upon the interplay of the specific combination of three major mechanisms: stress, friction, and biocorrosion, unique to that individual case. Modifying factors, such as saliva, tongue action, and tooth form, composition, microstructure, mobility, and positional prominence are elucidated.

Clinical significance: By performing a comprehensive medical and dental history, using precise terms and concepts, and utilizing the Revised Schema of Pathodynamic Mechanisms, the dentist may successfully identify and treat the etiology of root surface lesions. Preventive measures may be instituted if the causative factors are detected and their modifying factors are considered.

© 2011 Wiley Periodicals, Inc.

Comment in

Eakle WS. Eakle WS. J Esthet Restor Dent. 2012 Feb;24(1):24-5. doi: 10.1111/j.1708-8240.2011.00488.x. Epub 2011 Nov 17. J Esthet Restor Dent. 2012. PMID: 22296691 No abstract available.

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