Stress-induced cervical lesions: Review of advances in the past 10 years
Abstract
The accumulation of experimental and clinical evidence during the past decade has significantly contributed to the understanding of the role of occlusally generated tensile stress in the etiology of certain noncarious cervical lesions of teeth. More important, this knowledge has led to the understanding of the reasons why traditional restorative treatments of these stress-induced cervical lesions fail. The cause of failure can be attributed to the occlusally generated stresses that are concentrated at the cervical region and result in debonding, leakage, retention failure, and, ultimately, restorative failure. With the new understanding, restorative approaches that combine chemical adhesion and restorative materials of appropriate elastic properties show promise of long-term success.
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aPrivate practice University of California, San Francisco, Calif, USA.
bAssistant Clinical Professor, Department of Restorative Dentistry, University of California, San Francisco, Calif, USA.
cDepartment of Restorative Dentistry University of California, San Francisco, Calif, USA.
Reprint requests to: Dr. W. Stephan Eakle Box 0758 Department of Restorative Dentistry School of Dentistry University of California San Francisco, CA 94143-0758