title: Dental wear: a scanning electron microscope study.
abstract: Dental wear can be differentiated into different types on the basis of morphological and etiological factors. The present research was carried out on twelve extracted human teeth with dental wear (three teeth showing each type of wear: erosion, attrition, abrasion, and abfraction) studied by scanning electron microscopy (SEM). The study aimed, through analysis of the macro- and micromorphological features of the lesions (considering the enamel, dentin, enamel prisms, dentinal tubules, and pulp), to clarify the different clinical and diagnostic presentations of dental wear and their possible significance. Our results, which confirm current knowledge, provide a complete overview of the distinctive morphology of each lesion type. It is important to identify the type of dental wear lesion in order to recognize the contributing etiological factors and, consequently, identify other more complex, nondental disorders (such as gastroesophageal reflux, eating disorders). It is clear that each type of lesion has a specific morphology and mechanism, and further clinical studies are needed to clarify the etiological processes, particularly those underlying the onset of abfraction.
authors.affiliation: Department of Surgical and Morphological Sciences, Oro Cranio Facial Disease and Medicine Research Centre, Insubria University, 21100 Varese, Italy.
authors.forename: Luca
authors.initials: L
authors.lastname: Levrini
authors.affiliation: Department of Surgical and Morphological Sciences, Oro Cranio Facial Disease and Medicine Research Centre, Insubria University, 21100 Varese, Italy.
authors.forename: Giulia
authors.initials: G
authors.lastname: Di Benedetto
authors.affiliation: Department of Surgical and Morphological Sciences, Oro Cranio Facial Disease and Medicine Research Centre, Insubria University, 21100 Varese, Italy.
authors.forename: Mario
authors.identifier: 0000-0001-6322-1845
authors.initials: M
authors.lastname: Raspanti
mesh_terms: D003782:Dental Pulp / Q000503:physiopathology / Q000648:ultrastructure; D003804:Dentin / Q000503:physiopathology / Q000648:ultrastructure; D006801:Humans; D064347:Microscopy, Electrochemical, Scanning; D014070:Tooth / Q000503:physiopathology / Q000648:ultrastructure; D014072:Tooth Abrasion / Q000503:physiopathology*; D019217:Tooth Attrition / Q000503:physiopathology*; D014077:Tooth Erosion / Q000503:physiopathology*; D057085:Tooth Wear / Q000503:physiopathology*