Rusu Olaru A, Popescu M R, Dragomir L P, Rauten A M
Department of Occlusology and Fixed Prosthetics, Faculty of Dental Medicine, University of Medicine and Pharmacy of Craiova, Romania.
Department of Orthodontics, Faculty of Dental Medicine, University of Medicine and Pharmacy of Craiova, Romania.
Curr Health Sci J. 2019 Oct-Dec;45(4):390-397. doi: 10.12865/CHSJ.45.04.07. Epub 2019 Dec 30.
The abfraction theory states that under the action of the occlusal forces non-axially transmitted, the flexion of the tooth occurs in the cervical area, which initially leads to the appearance of cracks in the enamel and dentin, followed by the destruction of the dental structure. These lesions allow bacterial plaque retention, lead to dental hypersensitivity and can affect the vitality of the dental pulp. Thus, the study included 102 participants, of both sexes, 54% representing the male gender (55 subjects) and 46% the female gender (47 subjects), aged between 20 and 80, from the urban area 76% (77 subjects) and rural 24% (25 subjects), who came to the Dental Medicine office, between August 2018 and August 2019, representing 57.3%, of the total number of patients treated during the aforementioned period. They have been described the acid and abrasive processes involved in the generation of these lesions,and special attention was paid to the role of mechanical stress occurring at the occlusal level, due to the transmission of forces outside the dental axis.
磨损理论认为,在非轴向传递的咬合力作用下,牙齿在颈部区域发生弯曲,最初导致牙釉质和牙本质出现裂纹,随后导致牙齿结构破坏。这些病变会使细菌菌斑滞留,导致牙齿过敏,并可能影响牙髓活力。因此,该研究纳入了102名参与者,男女皆有,其中男性占54%(55名受试者),女性占46%(47名受试者),年龄在20至80岁之间,来自城市地区的占76%(77名受试者),农村地区的占24%(25名受试者),他们于2018年8月至2019年8月期间前往牙科诊所,占上述期间治疗患者总数的57.3%。研究描述了这些病变产生过程中涉及的酸蚀和磨损过程,并特别关注了由于力在牙轴外传递而在咬合水平产生的机械应力的作用。