Should abfractions be filled?

To treat a dental abfraction, the lesion is filled, much like a cavity. Your dentist will apply composite resin material to the affected area before shaping it and curing it with a special dental light.
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Do abfractions need to be filled?

Although a dental abfraction is not a cavity, it is usually treated in the same way. A dental filling can be applied directly to the area of damage to replace tooth enamel that has been destroyed.
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Do caries need to be filled?

Is a dental filling always required to treat a cavity? In short, the answer is no. Dental fillings are used to treat cavities because a dentist tends to want to remove the decayed part (the cavity) and fill it to stop any further damage from occurring.
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Are tooth abfractions common?

Dental abfractions are actually among the most common of all dental problems. They are the notches that occur in the teeth at the gum line.
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When should abfractions be restored?

Here, we suggest that restorative treatment of abfraction lesions should be considered only when one or more of the following conditions are present: 1) active, cavitated carious lesions associated with abfraction lesions; caries risk assessment must be conducted to determine the most appropriate caries management plan ...
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Bonding Gumline Abfraction - Dental Minute with Steven T. Cutbirth, DDS



Can tooth abfractions be fixed?

Once an abfraction lesion develops, the damage cannot be reversed. However, there are treatments that can smooth and enhance the tooth's appearance, reduce dental sensitivity, and help prevent further damage.
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How do you treat an abfraction lesion?

To treat a dental abfraction, the lesion is filled, much like a cavity. Your dentist will apply composite resin material to the affected area before shaping it and curing it with a special dental light. Finally, the tooth will be smoothed and polished to a natural-looking shine.
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What causes abfractions on teeth?

Abfraction is caused by stress and pressure applied to the teeth through biting, chewing, clenching the teeth, and most commonly, teeth grinding. These forces put great stress on the teeth near the gum line, where the enamel and cementum of the teeth meet.
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Can flossing cause abfraction?

Aggressive Brushing and Flossing – Aggressive brushing and flossing can increase your risk of worn tooth enamel and gum recession. In addition, it can potentially quicken the formation of abfractions given the stress placed on the teeth along the gumline.
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How do you stop tooth decay at gum line?

How to prevent a cavity near the gum line
  1. Brushing your teeth. Do this twice a day with a toothpaste containing fluoride, which is recommended by the American Dental Association (ADA) for preventing cavities. ...
  2. Flossing every day. ...
  3. Visiting your dentist. ...
  4. Prescription fluoride.
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Why would a dentist not fill a cavity?

Dental Procedures Lessen the Integrity of Teeth

When a cavity is filled, it weakens the tooth. There's more possibility for damage because the filling can fall out, crack, or there can be a small opening between the filling and tooth that can could lead to decay and then a root canal.
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What happens if I don't fill a cavity?

What happens if you don't get a filling? When decay damages a tooth, the destruction to the enamel is irreversible. If the cavity is left untreated, the decay can spread and worsen, destroying healthy parts of the tooth.
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Can I wait 6 months to fill a cavity?

Every Cavity Is Different

Some people have softer tooth enamel than others, making it easier for bacteria or acid to penetrate the tooth. On average, as a broad timeline, it can take anywhere from six months to four or five years before a cavity needs treatment.
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Are preventive fillings necessary?

When applied properly and in a timely manner, they can protect your tooth from decay, and eliminate the need for a filling or a dental crown in the future. Most of the time, preventative fillings are recommended when you have really deep grooves, fissures, or pits in your molars.
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What is an abfraction lesion?

Abfraction is a theoretical concept explaining a loss of tooth structure not caused by tooth decay (non-carious cervical lesions).
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WHAT IS pit and fissure sealant?

Definition. A sealant is a clear or opaque plastic material that is applied to the pits and fissures of teeth where decay occurs most often. The purpose of the sealant is to provide a physical barrier to occlude pits and fissures and to protect them from bacteria and food.
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Can you Overfloss?

It's not just how often you floss that causes damage, though. Flossing too vigorously or applying too much pressure on the gums can cause the gums to bleed. Eventually, over-flossing can destroy the gum line. This exposes more of the teeth's root, which eventually causes decay and cavities.
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Can you floss too deep?

With hard flossing over time, your gums will begin to recede. Once this happens, you'll start to experience tooth pain due to the areas of the tooth being exposed can have thin enamel. With extreme cases, the root of the tooth can be exposed causing even further tooth pain.
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What is the difference between abrasion and abfraction?

An abfraction is an angular notch at the gumline caused by bending forces applied to the tooth. An abrasion is a rounded notch at the gumline that may be visibly indestinguishable from an abfraction, although in cross-section abrasions are generally not as angular and have more of a saucered appearance.
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How do you treat abrasion teeth?

Tooth abrasion management

Once you have the cause of the abrasion established and eliminated your dentist can then look to replace missing tooth structure. In minimal cases this will often be done using dental bonding, in more severe cases dental veneers dental crowns may be required.
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How long do gum line fillings last?

Glass Ionomer Fillings

These are most commonly used for filling tiny cavities at the gum line or for baby teeth. Glass ionomer fillings typically last for 30-42 months or up to 5 years.
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Do gum line fillings hurt?

Here's the typical procedure you can expect for a filling: Your dentist will dry the area, then they'll administer a numbing gel. Once your gum is numb, they'll inject a local anesthetic, such as lidocaine. If your dentist is experienced, this shouldn't hurt.
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When is it too late for a filling?

Once bacteria have entered your tooth, it may be too late for a filling because we will need to prevent or treat an existing infection. However, it's never too late for dental care!
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Can a cavity go away with brushing?

Fortunately, the beginning stages of a cavity can be reversed by taking steps toward good oral hygiene. During early demineralization, exposure to fluoride, daily brushing and flossing, and regular cleanings can all help prevent — or even reverse — tooth decay.
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When is a cavity too big to fill?

If the decay reaches your tooth's main structure, called dentin, then a filling can replace the lost tooth structure after your dentist has cleaned the cavity of bacteria and infection. However, if it reaches the tooth's center chamber, called the pulp, a filling may no longer suffice to address it.
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