Restorative & Materials · single question
A picture shows multiple V-shaped cervical restorations in a patient with bruxism. What is the most likely cause of this pattern?
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Correct answer: C. Abfraction
In a bruxer, excessive occlusal loading creates flexural stress that concentrates at the cervical third of teeth, producing the classic deep, narrow, V-shaped cervical lesions of abfraction. Attrition would show wear on occlusal/incisal contact surfaces (not cervically), abrasion implies a foreign object/habit cause, and erosion has a smooth, shallow, non-V-shaped appearance from acid exposure.
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