Restoration of noncarious cervical lesions: when, why, and how.
At this time, restoration of noncarious cervical lesions (NCCLs) is a common occurrence in clinics nowadays. Some reasons for this are the growth of the elderly population, a smaller rate of tooth loss, and possibly the increase of some etiologic factors. These factors include inadequate brushing techniques in gingival recession cases, corrosive food and drink consumption, and occlusal stress concentrating factors (occlusal interferences, premature contacts, habits of bruxism, and clenching). Unfortunately, Class V restorations also represent one of the less durable types of restorations and have a high index of loss of retention, marginal excess, and secondary caries. Some causes for these problems include difficulties in isolation, insertion, contouring, and finishing and polishing procedures. This work aims to help dentists in choosing the best treatment strategy, which necessarily involves steps of problem identification, diagnosis, etiological factor removal or treatment, and, if necessary, restoration. Finally, appropriate restorative techniques are suggested for each situation.
School of Dentistry, State University of Rio de Janeiro (UERJ), Avenida 28 de Setembro, 157, Vila Isabel, 20551-030 Rio de Janeiro, RJ, Brazil.
Cesar Dos Reis
Cdos R
Perez
Mariana Rodrigues
MR
Gonzalez
Natália Aráujo Silva
NA
Prado
Marianna Sorozini Ferreira
MS
de Miranda
Mariana de Andrade
Mde A
Macêdo
Bárbara Monteiro Pessôa
BM
Fernandes