Restorative & Materials · single question

Cupping lesions on the OCCLUSAL surfaces of molar teeth are MOST characteristic of which condition?

  1. Abrasion from toothbrushing
  2. Attrition from bruxism
  3. Dental erosion
  4. Abfraction
Show answer and explanation

Correct answer: C. Dental erosion

Cupping (concave depressions) on occlusal surfaces = dental erosion from acid dissolution. The acid dissolves enamel and dentin in a concave pattern.
  • A. Abrasion from toothbrushing creates horizontal grooves at the cervical area or worn incisal edges — not occlusal cupping.
  • B. Attrition causes flat, polished wear facets on occlusal/incisal surfaces from tooth-to-tooth contact (bruxism) — not cupping.
  • C. CORRECT. Cupping lesions on occlusal surfaces are the hallmark of dental EROSION (acid dissolution from GERD, dietary acids, or bulimia). The acid creates concave depressions — distinguishing erosion from mechanical wear.
  • D. Abfraction creates wedge-shaped notches at the CERVICAL margin, not cupping on occlusal surfaces.

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