Restorative & Materials · single question

What is the key difference between abrasion and abfraction?

  1. Abfraction is caused by foreign elements like a toothbrush
  2. Abrasion is flat/dish-shaped; abfraction is wedge-shaped at the cervical
  3. Abfraction only occurs in posterior dentition
  4. Abrasion occurs only on the occlusal surface
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Correct answer: B. Abrasion is flat/dish-shaped; abfraction is wedge-shaped at the cervical

  • A. ❌ Foreign element mechanical wear describes abrasion, not abfraction.
  • B. ✅ Correct. Abrasion creates a flat, dish-shaped lesion from mechanical wear (toothbrush, abrasive foods). Abfraction creates a wedge-shaped notch at the cervical due to eccentric occlusal loading causing enamel microfractures at the fulcrum.
  • C. ❌ Abfraction can occur in any dentition experiencing eccentric loading, including anteriors.
  • D. ❌ Abrasion can occur on any surface exposed to mechanical wear, not only occlusal.

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