Non-carious cervical lesions in adult patients. Literature Review

Abstract

Introduction: Cervical non-carious lesion, has been defined as the loss of tooth structure at the cemento-enamel junction that is not related to dental caries; the enamel becomes progressively thinner approaching the cemento-enamel junction, so the cervical region represents the most vulnerable site. Objective: A review of the literature on non-carious cervical lesions in adult patients was carried out. Methods: secondary, descriptive research, with prospective design. The electronic databases PUBMED/MEDLINE, BIREME, REDALYC.org, SciELO.org, Google Scholar and Google Scholar were consulted, limited to publications from January 2014 to June 2022 in Spanish and English. Observational studies, randomized controlled trials (RCTs), reporting aspects of non-carious cervical lesions in adult patients referring to their clinical characteristics, prevalence, etiological factors, diagnosis and treatment were established as inclusion criteria. Results: A total of 47 articles were reviewed of which only 22 met the inclusion criteria. The selected studies reported relevant and useful information related to the clinical characteristics, epidemiology, etiologic factors, diagnosis and treatment of non-carious cervical lesions. Conclusions: The available scientific evidence suggests that there is a relatively high prevalence of non-carious cervical lesions worldwide that increases with age; consumption of acidic foods and beverages, as well as low salivary pH have been associated with a higher occurrence of a non-carious NCCL lesion so these pathologies require a multidisciplinary approach both curative and preventive.