Conservative Treatment of Dental Non-Carious Cervical Lesions: A Scoping Review

Biomedicines. 2023 May 25;11(6):1530. doi: 10.3390/biomedicines11061530.

Abstract

This scoping review aims to evaluate methods of conservative reconstruction of dental enamel lesions resulting from abrasions and evaluate the effect of diode laser in reducing the symptoms of tooth sensitivity. The cementoenamel junction is more prone to substance loss because the enamel thickness is substantially decreased, resulting in a much weaker enamel-dentin bond.

Methods: Dental abrasion was examined in the mechanical cause alone. Pubmed, Scopus, and Web of Science were used to discover publications that matched our topic from 1 January 2018 to 20 March 2023. A comparison of various non-carious cervical lesion (NCCL) restoration treatments was generated mostly by mechanical considerations.

Results: A final number of 11 clinical trials and randomized controlled trials were included in the review for qualitative analysis. Composite resins performed well in clinical trials for the restoration of NCCLs.

Conclusions: Composite, in its different forms of filling and consistency, preceded by the use of adhesives, is an efficient and effective material for the treatment of NCCLs. Diode laser use prior to NCCL restoration of teeth does not diminish restoration retention rate, may lessen hypersensitivity, and may affect restoration success.

Keywords: RCT; composite restoration; conservative; enamel abrasion; non-carious cervical lesions; resin-modified glass-ionomer cements; systematic review.

Publication types

  • Review

Grants and funding

This research received no external funding.