Fact 6: Treatment Tailored to Individual Needs
Treatment for abfraction is not a one-way street; it’s a journey tailored to the individual’s needs and the severity of their symptoms. Minor AF can often be managed with non-invasive strategies that focus on the prevention of further damage. These may include patient education on proper brushing techniques to avoid additional enamel wear, as well as the use of a night guard for those who clench or grind their teeth. Monitoring the progression of these minor lesions is critical, as it allows for timely intervention should the condition worsen.
As abfraction lesions progress, they may require direct intervention. Restorative procedures, such as composite bonding or dental crowns, are employed to repair and rebuild the compromised tooth structure. The choice between these options depends on the extent of the damage and the specific needs of the patient. Composite bonding is a conservative approach that can effectively fill small notches and protect the underlying dentin, while crowns offer a more comprehensive solution for teeth with extensive structural damage.
In many cases, addressing the root causes of abfraction is as important as treating the lesions themselves. If the AF is a result of occlusal issues, such as misaligned teeth or an improper bite, corrective treatments like orthodontics may be necessary. For those whose AF is exacerbated by bruxism, managing this condition is a priority. This can involve the use of night guards as well as behavioral interventions such as stress management techniques or muscle relaxants.
After treatment, ongoing care and vigilance are crucial to prevent recurrence. Patients need to maintain excellent oral hygiene, adhere to their dentist’s recommendations, and have regular dental check-ups. These check-ups allow for the assessment of the treatment’s durability and the early detection of any new or recurring lesions.
The treatment of abfraction has a broader impact than simply repairing notches in teeth. By restoring the structural integrity of the teeth and addressing contributory habits, patients can experience not only aesthetic improvements but also an enhancement in dental function and comfort. The successful treatment of AF can also have positive psychological effects, as patients regain confidence in their smiles and no longer experience the sensitivity and discomfort associated with the condition. (6)
