Severity of Dental Abrasion and Its Association with Oral Hygiene Behaviors

Severity of Dental Abrasion


  • Saba Parveen Department of Community Dentistry, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
  • Zaheer Hussain Chachar Department of Periodontology, Altamash Institute of Dental Medicine, Karachi, Pakistan
  • Rida Batool Department of Community Dentistry, Dow International Dental College, Dow University of Health Sciences, Karachi, Pakistan
  • Qasim Khalid Department of Orthodontics, Avicenna Dental College, Lahore, Pakistan
  • Samia Ejaz Department of Operative Dentistry, Pakistan Institute of Medical Sciences, Islamabad, Pakistan
  • Rajesh Kumar Department of Periodontology, Bhittai Dental and Medical College, Mirpurkhas, Pakistan



Dental Abrasion, Dental Hygiene, Oral Hygiene, Severity


Dental abrasion (DA) is an erosive activity that wears away the surface of teeth. Due to the use of abrasive dentifrices and incorrect brushing techniques, it is a multifactorial phenomenon. Objective: To assess the severity of dental abrasion in association with oral hygiene behaviors. Methods: A total of 278 undergraduate students aged 18 to 25 years were enrolled in this study who were having abrasion of permanent dentitions. Mouth mirror and CPITN probe were used to detect abrasion on the labial surface of front teeth and conducted a questionnaire. The Smith and Knight's Tooth Wear Index was used to measure the severity and frequency of dental abrasion in the patients. SPSS version-22 was used to analyze the data. Results: From 278 participants, females were 163 (58.6%) and males were 115 (41.4%). Majority 132 (47.5%) were using medium type of brush, most of the cases 122 (43.9%) brushing twice a day. About 107 (38.5%) using brushing methods in combination, 137 (49.3%) were using brush for 1-2 minutes. Tooth sensitivity was reported in 133 (47.8%) of the cases. Out of all, DA was found in 160 (58%) of the cases. According to severity, minimum loss of surface characteristics was in 220 (79.1%). A highly significant association (p=<0.001) was found between the type of brush and dental abrasion. A non-significant association (p=0.816) was found between both frequencies of brushing and dental abrasion. Conclusions: Brushing parameters did not affect abrasive lesions. Further study and long-term follow-up are required to distinguish oral hygiene routines from tooth abrasion


Milosevic A. Abrasion: a common dental problem revisited. Primary Dental Journal. 2017 Mar; 6(1): 32-6. doi: 10.1177/205016841700600104.

Reis MB, Mandetta CD, Dantas CD, Marañón-Vásquez G, Taba Jr M, de Souza SL, et al. Root coverage of gingival recessions with non-carious cervical lesions: a controlled clinical trial. Clinical Oral Investigations. 2020 Dec; 24: 4583-9. doi: 10.1007/s00784-020-03325-1.

Mooney Y. How to manage tooth erosion. BDJ Team. 2021 Oct; 8(9): 7-9. doi: 10.1038/s41407-021-0742-5.

Lim TW and Roffie J. Management of localized anterior tooth wear using a modified sandwich technique and the Dahl concept: a case report. Operative Dentistry. 2022 Jan; 47(1): 3-10. doi: 10.2341/20-172-T.

Li H and Jiao RZ. Plasmonic band-stop filters based on tooth structure. Optics Communications. 2019 May; 439: 201-5. doi: 10.1016/j.optcom.2019.01.017.

Gürbüz S, Çankaya ZT, Cinal E, Koçyiğit EG, Bodur A. Effects of interactive power toothbrush with or without application assistance on the plaque, gingivitis, and gingival abrasion among dental students: a randomized controlled clinical trial. Clinical Oral Investigations. 2022 Sep; 26(9): 5931-41. doi: 10.1007/s00784-022-04553-3.

Vandana K and Haneet R. Cementoenamel junction: An insight. Journal of Indian Society of Periodontology. 2014; 18(5): 549–54. doi: 10.4103/0972-124X.142437.

Bergström J and Lavstedt S. An epidemiologic approach to toothbrushing and dental abrasion. Community Dentistry and Oral Epidemiology. 1979 Feb; 7(1): 57-64. doi: 10.1111/j.1600-0528.1979.tb01186.x.

Bain C, Sayed AA, Kaklamanos EG, Kazi HA. Toothbrushing-Should We Advise Mechanical or Power Brushes? Results of an International Delphi Conference. The Journal of Contemporary Dental Practice. 2018 Oct; 19(10): 1169-73. doi: 10.5005/jp-journals-10024-2401.

Rusu Olaru A, Popescu MR, Dragomir LP, Popescu DM, Arsenie CC, Rauten AM. Identifying the Etiological Factors Involved in the Occurrence of Non-Carious Lesions. Current Health Science Journal. 2019 Apr; 45(2): 227–34.

Clemens WA. Characterization of enamel microstructure and application of the origins of prismatic structures in systematic analyses. Tooth Enamel Microstruct. 2020 Sep; 85–112. doi: 10.1201/9781003077930-5.

Liang CH, Nien CY, Chen YL, Hsu KW. The prevalence and associated factors of proximal contact loss between implant restoration and adjacent tooth after function: a retrospective study. Clinical Implant Dentistry and Related Research. 2020 Jun; 22(3): 351-8. doi: 10.1111/cid.12918.

Rath A, Ramamurthy PH, Fernandes BA, Sidhu P. Effect of dried sunflower seeds on incisal edge abrasion: A rare case report. Journal of Conservative Dentistry: JCD. 2017 Mar; 20(2): 134–6. doi: 10.4103/0972-0707.212237.

Natto ZS, Aladmawy M, Alasqah M, Papas A. Factors contributing to tooth loss among the elderly: A cross sectional study. Singapore Dental Journal. 2014 Dec; 35: 17-22. doi: 10.1016/j.sdj.2014.11.002.

Blignaut E, Rossouw TM, Becker PJ, Mavuso DS, Feucht UD. Gingival recession and localized aggressive periodontitis among HIV-infected children and adolescents receiving antiretroviral therapy. The Pediatric Infectious Disease Journal. 2019 Jun; 38(6): e112-5. doi: 10.1097/INF.0000000000002166.

Persson GR. Periodontal complications with age. Periodontology 2000. 2018 Oct; 78(1): 185-94. doi: 10.1111/prd.12227.

Sangnes G and Gjermo P. Prevalence of oral soft and hard tissue lesions related to mechanical toothcleansing procedures. Community Dentistry and Oral Epidemiology. 1976 Apr; 4(2): 77-83. doi: 10.1111/j.1600-0528.1976.tb01607.x.

Sud N. Prevalence of dental abrasion and its association with toothbrush frequency among patients attending OPD in Government Dental College and Hospital-A cross sectional study. Indian Jornal of Dental Advancements. 2015 Apr; 7(2): 112-5. doi:

Saxena V, Yadav N, Shanthi G, Vanka A, Dubey P. Linking Of Multifactorial Causation In Abrasion Of Teeth Among Adult Residents Of Bhopal Central India. Indian Journal of Dental Sciences. 2013 Sep; 5(3): 9–12.

Borcic J, Anic I, Urek MM, Ferreri SI. The prevalence of non‐carious cervical lesions in permanent dentition. Journal of Oral Rehabilitation. 2004 Feb; 31(2): 117-23. doi: 10.1046/j.0305-182X.2003.01223.x.

David K and Bhat KM. Prevalence Of Tooth Wear In Patients Attending The Department Of Periodontics, Manipal College Of Dental Sciences, Manipal. National journal of Integrated research in Medicine. 2012 Apr; 3(2): 136–41.

Curcă M and Dănilă I. Clinical study on the distribution of tooth wear of the adult population. Revista Medico-chirurgicala a Societatii de Medici si Naturalisti din Iasi. 2010 Jul; 114(3): 870-3.

Tomasik M. Analysis of etiological factors involved in noncarious cervical lesions. InAnnales Academiae Medicae Stetinensis. 2006; 52(3): 125–36.

Grippo JO, Simring M, Coleman TA. Abfraction, abrasion, biocorrosion, and the enigma of noncarious cervical lesions: a 20‐year perspective. Journal of Esthetic and Restorative Dentistry. 2012 Feb; 24(1): 10-23. doi: 10.1111/j.1708-8240.2011.00487.x.

Mushtaq F and Ahmed M. Frequency and etiological factors of non carious cervical lesions. Pakistan Oral & Dental Journal. 2016 Jun; 36(2): 1.

Talha AW, Syed MS, Ahmed Z, Sobia S. Patterns and habits of tooth surface loss in association with tooth brushing/soft drink consumption amongst 18-34 years of adults. Pakistan Oral & Dental Journal. 2014 Dec; 34(4): 1.

Bhardwaj V. Tooth brushing behaviours and dental abrasion among the population in Shimla, Himachal Pradesh in India: A cross-sectional study. Journal of Cranio-Maxillary Diseases. 2014 Jul; 3(2): 89-. doi: 10.4103/2278-9588.138219.

Yadav NS, Saxena V, Reddy R, Deshpande N, Deshpande A, Kovvuru SK. Alliance of oral hygiene practices and abrasion among urban and rural residents of central India. Journal of Contempoary Dental Practice. 2012 Feb; 13(1): 55–60. doi: 10.5005/jp-journals-10024-1095.

Litonjua LA, Andreana S, Cohen RE. Toothbrush abrasions and noncarious cervical lesions: evolving concepts. Compendium of continuing education in dentistry (Jamesburg, NJ: 1995). 2005 Nov; 26(11): 767-8.




How to Cite

Parveen, S., Hussain Chachar, Z. ., Batool, R. ., Khalid, Q. ., Ejaz, S. ., & Kumar, R. . (2023). Severity of Dental Abrasion and Its Association with Oral Hygiene Behaviors: Severity of Dental Abrasion. Pakistan Journal of Health Sciences, 4(04), 84–89.



Original Article