Clinical evaluation of etiological co-variables, characteristics, and treatment modalities of noncarious cervical lesions.

BACKGROUND

Non-carious cervical lesions (NCCLs) pose a clinical challenge due to multifactorial aetiology and varied clinical presentations, making it essential to understand their characteristics and treatment modalities to improve treatment outcomes.

AIM AND OBJECTIVES

To study multifactorial aetiology, clinical characteristics and management using tooth-coloured materials.

MATERIALS AND METHODS

Patient's case history was noted to determine aetiology and characteristics of NCCL. Study included 180 teeth, divided in two main groups based on shape of the lesion- Group 1(=90): Saucer/round-shaped NCCL and Group 2(=90): Wedge-shaped NCCL. Groups were further divided in three subgroups as per restorative materials used -Group1a & Group 2a: RMGIC, Group 1b & Group 2b: Flowable Bulk-fill Composite, and Group 1c & 2c: Packable Composite. Assessment was done using Revised FDI Criteria at baseline, 3, 6 and 12 months. Statistics was performed using SPSS version 26.0. Intragroup comparison was done using repeated measures ANOVA followed by Bonferroni post-hoc test. Intergroup analysis was done using independent t-test and one-way ANOVA followed by Bonferroni post-hoc test.

RESULTS

RMGIC demonstrated least postoperative sensitivity in wedge-shaped lesions compared to bulk-fill-flowable and packable composites. All materials showed similar performance in wedge-shaped lesions, but RMGIC exhibited higher surface roughness in saucer-shaped lesions. Packable composites showed more marginal staining in wedge-shaped lesions, while RMGIC had the least staining in saucer-shaped lesions.

CONCLUSION

Understanding the interplay between abrasion, biocorrosion, and abfraction is crucial for long-term treatment outcomes. The overall performance of RMGIC was better for wedge shaped, and bulk-fill flowable performed better in saucer shaped lesions.