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Treatment of non-carious cervical lesions: State of art

Cesar Dos Reis Perez

Considering some factors as the growth of the elderly population, the smaller rate of tooth loss, and possibly the increase of some etiologic factors as inadequate brushing techniques, corrosive food and drink consumption, and occlusal stress concentrating factors (occlusal interferences, premature contacts, habits of bruxism, and clenching), the treatment of non-carious cervical lesions can be considered a matter of great importance. 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 presentation 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.