• The Journal of Korean Academy of Prosthodontics
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• v.34 no.2
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• pp.299-308
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• 1996

In order to epidemiologically verify the tensile that cervical abfraction is developed from the tensile stress during lateral excursion, comparisons between the experimental group with cervical abfraction and the control group without cervical abfaction was made by exmining the occlusal wear and patterns from the dental cast. 1. The degree of occlusal wear in the experimental group with cervical abfraction was higher than that of control group without cervical abfraction.(p<0.05) 2. No significant difference in the occlusal wear pattern was found between the experimental group and the control group. 3. Higher degree of occlusal wear was found in the age group of abov 40 than that of below 40.(p<0.05) 4. There was a correlation between the degree of occlusal wear and the degree of cevical abfraction.(p<0.05) 5. There was a correlation between the age and the degree of cevical abfraction.(p<0.05) It can be concluded that occlusal stress is the etiologic factor of cervical abfraction, but no clear distinction was made between the relationship of tensile stress and cervical abfraction.

• 대한치과보철학회:학술대회논문집
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• 1995.12a
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• pp.36-36
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• 1995

• The Journal of the Korean dental association
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• v.48 no.4
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• pp.297-307
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• 2010

Noncarious cervical lesions(NCCLs) are characterized as structural defects found on the tooth surface of the cement-enamel junction. Loss of tooth structure through noncarious mechanisms may vary in etiology and clinical presentation for each individual but presently many clinician now classify this as tooth failure of abfraction due to the stress applied in the cervical area of the tooth under oral physiological and pathological loads. In the current study, we investigated the stress distribution of maxillary premolar with NCCL using simulated 3D finite element analysis. The results were as follows: 1. In the sound maxillary premolar, the stresses were highly concentrated at cervical enamel surface of the mesiobuccal line angle, asymmetrically. 2. Once the lesion has been formed, the highest stress concentration was observed around the apex of the wedge shaped lesion. 3. In four types of NCCL, the patterns of stress distribution were similar and the peak stress was observed at mesial corner and also stresses concentrated at lesion apex. 4. Lesion cavity modification of rounding apex, reduced stress of lesion apex. 5. When restoring the notch-shaped lesion, material with high elastic modulus worked well at the lesion apex and material with low elastic modulus worked well at the cervical cavosurface margin.

• Proceedings of the Korean Society of Precision Engineering Conference
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• 2007.06a
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• pp.691-692
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• 2007

• Transactions of the Korean Society of Mechanical Engineers A
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• v.32 no.8
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• pp.678-684
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• 2008

A general treatment is to restore abfraction lesions with dental filler materials to reduce stress concentration. A material should be selected from various dental products based on long term experiences of dentist or personal preference concerning filler methods. A quantitative criterion is necessary to make an evaluation of the results as dentists decide treatment methods and dental materials relying on their clinical experiences. The purpose of this study is to find an optimal restoration method and material for noncarious cervical lesions using the finite element method. An objective function was defined to minimize the sum of tension or compression stress. Trial-and-error and approximation were used to find an optimal restoration method. An optimal solution was to fill TetricFlow inside the lesion and Z100 in the remaining region. The most desirable thickness ratio of the two filler materials was 0.125 with trial-and-error and it was similar to the results of approximation, 0.121 and 0.132.

• Journal of the Korean Society for Precision Engineering
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• v.24 no.7 s.196
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• pp.112-119
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• 2007

Cavities of Class V are caused by heavy occlusal loads due to bruxism and clenching habit. It is general to restore abfraction lesions with dental filler materials to reduce stress concentration. A material should be selected from various dental products based on long term clinical experiences or personal preference concerning filler methods. A quantitative criterion is necessary to make an evaluation of the results as dentists decide treatment methods and dental materials relying on their clinical experiences. The purpose of this study is to find an optimal restoration method and material for noncarious cervical lesions using the finite element method. An objective function was defined to minimize the sum of tensile and compressive stresses. Several models with different combinations of resins were suggested and compared in terms of the values of objective function. An optimal solution was to fill TetricFlow inside the lesion and Z100 in the remaining region with a thickness ratio of 0.125.

• Journal of the Korean Society for Nondestructive Testing
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• v.29 no.3
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• pp.214-218
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• 2009

The occlusal force of the tooth leads to loss of tooth tissue owing to attrition and abrasion, and may cause abfraction and pathological change of the dentin. Thus, we developed finite element models, examined them by applying ordinary occlusal force, and analyzed the stress distribution. Specimens used were mandibular first premolars from 15 Korean males and 13 females and were made into finite element models from medical images that were obtained using a Micro-CT. We have found that the irregular feature of the tooth is not only useful to masticating and pronouncing as well known, but it is also suitable for protecting inner tissue by dispersing stress and delivering proper pressure to periodontal tissue to continue a physiological action. Also, image analysis could let us know the factor that is the cause of a disorder due to stress concentration in the cervical line. These results are expected to support the field of dental treatment planning, operating procedure and clinical trial, and the advance of technical expertise to develop implants and dentures.

• Proceedings of the KACD Conference
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• 2002.05a
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• pp.322-322
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• 2002

치경부 병소는 부적절한 칫솔질, 화학적 침식 및 차아의 굴곡 등의 여러 원인에 의해 크게 cervical abrasion, erosion 및 abfraction의 형태로 나타난다. 최근 노령 환자층의 증가와 치주 치료에 의한 구강내 치아 잔존율의 증가는 치경부 병소의 증가를 가져왔다. 이러한 치경부 병소는 지각과민증, 우식 및 심미적 이유 등으로 수복을 시행하며 구치부위에 작은 우식이 없는 치경부 병소가 있는 경우 환자에게서 지각과민증를 유발하지 않는 경우라면 수복을 시행하지 않을 수도 있지만, 많은 예에서 더 이상의 치아 및 치주 조직의 손상을 억제하고 치수의 보호를 위해서 수복을 시행한다. 특히 전치부의 경우에는 병소가 작고 우식에 이완되지 않았다 할지라도 그 심미적 측면 때문에 수복을 시행하는 예가 증가하고 있다.(중략)

• Restorative Dentistry and Endodontics
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• v.27 no.6
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• pp.555-560
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• 2002

치근부 민감성 (hypersensitivity)은 부분적으로 치근면에서의 개방된 상아세관이 존재하는 것에 기인한다고 생각되며 이러한 치근부의 개방된 상아세관은 치경부 병소 (cervical lesion)에 주로 존재하는데 이는 칫솔질에 의한 마모(toothbrush abrasion), 화학적 침식 (chemical erosion), 또는 abfraction 등의 결과로 나타난다고 한다. 이미 Nd-YAG 레이저를 이용한 실험에서 레이저를 조사한 상아질 표면의 상아 세관 구경이 감소되고 상아세관의 폐쇄가 많이 증가되는 양상을 관찰한 바 있다. 이 실험의 목적은 고출력레이저인 Nd-YAC 레이저를 이용한 상아질 표면처치의 임상사용가능성을 좀 더 상세히 평가하기 위해 상아질에 레이저를 처리한 후 기계적으로 마모시킨 경우 상아질 표면의 변화를 관찰하는 것이다. 50개의 발치된 치아의 상아질을 노출시켜 표면을 연마한 후 대조군에서는 37% 인산으로 산부식하여 상아 세관을 노출시킨 후 레이저를 조사하였고, 실험군에서는 대조군과 같은 조건으로 산과 레이저로 처리된 상아질 표면을 15, 45, 90 그리고 180분 동안 전동 칫솔로 기계적으로 마모시켜 그 표면을 주사전자현미경으로 관찰한 결과, 대조군, 칫솔질을 15, 45분간 시행한 실험군에서는 상아 세관 입구가 10% 이내에서 노출되었고 50 그리고 180분간 칫솔질을 시행한 실험군에서는 45 그리고 48%의 상아세관 입구의 노출이 관찰되었다. 그러므로 Nd-YAC레이저의 조사는 상아질 표면에서 축적 시간이 45분 이상에서 90분 이하인 기계적 마모에 의한 상아 세관 입구의 노출을 억제할 수 있을 것이라 사료된다.

• Journal of Dental Rehabilitation and Applied Science
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• v.19 no.1
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• pp.7-15
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• 2003

This study used FEM(Finite Element method) based on micro-CT images to see the effects of occlusal force distribution with varying bone density and structure. the mandibular premolar region from human cadaver, thickness of 10mm was imaged using micro-CT. the cross sectional images were taken every $10{\mu}m$. these were reconstructed and the longitudinal image at the mid point of mesiodistal of the speciman was obtained for the specimen for the FEM. The stress disribution produced by a vertical force at 100N and 100N horizontal were analyzed by MSC Nastran FEM Package. according to the result of this study the occlusal force distribution depends on the structure of cancellus bone and for further information on the occlusal force distribution on the tooth and the surrounding structure requires further studies on cancellus bone structure. CEJ of all model show the highest peak and region whice meet teeth and bone show second high peak. Original model and cortical bone add model show different stress distribution. Stress distribution changed according to bone structures and densities.