JDSE
Journal of Dental Sciences and Education

The Journal of Dental Sciences and Education deals with General Dentistry, Pediatric Dentistry, Restorative Dentistry, Orthodontics, Oral diagnosis and DentomaxilloFacial Radiology, Endodontics, Prosthetic Dentistry, Periodontology, Oral and Maxillofacial Surgery, Oral Implantology, Dental Education and other dentistry fields and accepts articles on these topics. Journal of Dental Science and Education publishes original research articles, review articles, case reports, editorial commentaries, letters to the editor, educational articles, and conference/meeting announcements.

eISSN: 2980-1389
Creative Commons CC BY-NC-ND 4.0 International License.
EndNote Style

Online Manuscript System

Index
Review
The relationship between stress distribution and adhesive failure in non-carious cervical lesions (NCCL): a review
Abstract
Non-carious cervical lesions (NCCLs) are lesions observed in dental hard tissues and have a multifactorial etiology. It is believed that surface loss processes such as abrasion and erosion, together with the biomechanical effects caused by occlusal stress, play a role in the development of these lesions. The structural characteristics of the cervical region and the distribution of stress within this area influence both lesion formation and the success of restorative treatments. The aim of this review is to evaluate the relationship between the etiology of NCCLs, biomechanical effects, and mechanisms of adhesive failure and to outline clinical approaches and restorative strategies accordingly. Current findings suggest that stress accumulation in the cervical region may adversely affect the adhesive interface, leading to loss of retention and marginal breakdown. Consequently, to achieve successful outcomes in the treatment of NCCLs, it is necessary to evaluate biomechanical factors and clinical variables together and to adopt a personalized treatment approach.

Keywords : Non-carious cervical lesions (NCCL), biomechanical stress, adhesive failure, occlusal loading, restorative treatment

Download Article


1. Denucci GC, Stone S, Hara AT. Non-carious cervical lesions: a bibliometric analysis and future research trends. J Dent. 2024;148:105229. doi:10.1016/j.jdent.2024.105229
2. Goodacre CJ, Roberts WE, Munoz CA. Noncarious cervical lesions: morphology and progression, prevalence, etiology, pathophysiology, and clinical guidelines for restoration. J Prosthodont. 2023;32(2):e1-e18. doi:10.1111/jopr.13585
3. Bartlett DW, Shah P. A critical review of non-carious cervical (wear) lesions and the role of abfraction, erosion, and abrasion. J Dent Res. 2006;85(4):306-312. doi:10.1177/154405910608500405
4. Grippo JO, Simring M, Coleman TA. Abfraction, abrasion, biocorrosion, and the enigma of noncarious cervical lesions: a 20-year perspective. J Esthet Restor Dent. 2012;24(1):10-23. doi:10.1111/j.1708-8240.2011.00487.x
5. Lussi A, Schaffner M. Progression of and risk factors for dental erosion and wedge-shaped defects over a 6-year period. Caries Res. 2000;34(2):182-187. doi:10.1159/000016587
6. Addy M, Shellis RP. Interaction between attrition, abrasion and erosion in tooth wear. Monogr Oral Sci. 2006;20:17-31. doi:10.1159/000093348
7. Shellis RP, Addy M. The interactions between attrition, abrasion and erosion in tooth wear. Monogr Oral Sci. 2014;25:32-45. doi:10.1159/000359936
8. Featherstone JDB, Lussi A. Understanding the chemistry of dental erosion. Monogr Oral Sci. 2006;20:66-76. doi:10.1159/000093351
9. Romeed SA, Malik R, Dunne SM. Stress analysis of occlusal forces in canine teeth and their role in the development of non-carious cervical lesions: abfraction. Int J Dent. 2012;2012:234845. doi:10.1155/2012/234845
10. Litonjua LA, Andreana S, Bush PJ, Tobias TS, Cohen RE. Noncarious cervical lesions and abfractions: a re-evaluation. J Am Dent Assoc. 2003;134(7):845-850. doi:10.14219/jada.archive.2003.0282
11. Soares PV, Santos-Filho PCF, Soares CJ, et al. Non-carious cervical lesions: influence of morphology and load type on biomechanical behaviour of maxillary incisors. Aust Dent J. 2013;58(3):306-314. doi:10.1111/adj.12084
12. Bansal S. Noncarious cervical lesions as abfraction: etiology, diagnosis, and treatment modalities. J Oral Health Dent. 2014;438:1-6.
13. Mahn E, Rousson V, Heintze S. Meta-analysis of the influence of bonding parameters on the clinical outcome of tooth-colored cervical restorations. J Adhes Dent. 2015;17(5):391-403. doi:10.3290/j.jad.a35008
14. Van Meerbeek B, Yoshihara K, Yoshida Y, Mine A, De Munck J, Van Landuyt KL. State of the art of self-etch adhesives. Dent Mater. 2011;27(1):17-28. doi:10.1016/j.dental.2010.10.023
15. Doshi K, Nivedhitha MS, Solete P, et al. Effect of adhesive strategy of universal adhesives in non-carious cervical lesions: an updated systematic review and meta-analysis. BDJ Open. 2023;9(1):3. doi:10.1038/s41405-022-00124-6
16. Pecie R, Krejci I, Garcia-Godoy F, Bortolotto T. Noncarious cervical lesions (NCCL)-a clinical concept based on the literature review. Part 2: restoration. Am J Dent. 2011;24(3):183-192.
17. Soares PV, Grippo JO. Noncarious cervical lesions and occlusal stress. Aust Dent J. 2013;58(suppl 1):134-139. doi:10.1111/adj.12098
18. Ichim I, Li Q, Loughran J, Swain MV, Kieser J. Restoration of non-carious cervical lesions. Part I. Modelling of restorative fracture. Dent Mater. 2007;23(12):1553-1561. doi:10.1016/j.dental.2007.02.003
19. Ichim I, Schmidlin PR, Kieser JA, Swain MV. Mechanical evaluation of cervical glass-ionomer restorations: 3D finite element study. J Dent. 2007;35(1):28-35. doi:10.1016/j.jdent.2006.04.003
20. Maluf CV, Lourenço EJV, Pegoraro LF, de Moraes Telles D. Noncarious cervical lesions: response from a 25-year clinical follow-up study. J Prosthet Dent. 2025;133(3):653-661. doi:10.1016/j.prosdent.2023.11.001
21. Folwaczny M, Mehl A, Kunzelmann KH, Hickel R. Clinical performance of a resin-modified glass-ionomer and a compomer in restoring non-carious cervical lesions: 5-year results. Am J Dent. 2001;14(3):153-156.
22. Blunck U. Improving cervical restorations: a review of materials and techniques. J Adhes Dent. 2001;3(1):33-44.
23. Burgess JO, Gallo JR, Ripps AH, Walker RS, Ireland EJ. Clinical evaluation of four Class 5 restorative materials: 3-year recall. Am J Dent. 2004;17(3):147-150.
24. Gonçalves DFM, Shinohara MS, Carvalho PRMA, et al. Three-year evaluation of different adhesion strategies in non-carious cervical lesion restorations: a randomized clinical trial. J Appl Oral Sci. 2021;29:e20210192. doi:10.1590/1678-7757-2021-0192
25. Canali GD, Ignácio SA, Rached RN, Souza EM. One-year clinical evaluation of bulk-fill flowable vs regular nanofilled composite in non-carious cervical lesions. Clin Oral Investig. 2019;23(2):889-897. doi:10.1007/s00784-018-2509-8
26. Zhang H, Wang L, Hua L, et al. Randomized controlled clinical trial of a highly filled flowable composite in non-carious cervical lesions: 3-year results. Clin Oral Investig. 2021;25(10):5955-5965. doi:10.1007/s00784-021-03901-z
27. Aw TC, Lepe X, Johnson GH, Mancl L. One-year clinical evaluation of an ethanol-based and a solvent-free dentin adhesive. Am J Dent. 2004;17(6):451-456.
28. Van Dijken JWV, Sunnegårdh-Grönberg K, Lindberg A. Clinical long-term retention of etch-and-rinse and self-etch adhesive systems in non-carious cervical lesions: a 13-year evaluation. Dent Mater. 2007;23(9):1101-1107. doi:10.1016/j.dental.2006.10.005
29. Burrow MF, Tyas MJ. Five-year clinical evaluation of One-Up Bond F in non-carious cervical lesions. Am J Dent. 2007;20(6):361-364.
30. Tay FR, Pashley DH. Resin bonding to cervical sclerotic dentin: a review. J Dent. 2004;32(3):173-196. doi:10.1016/j.jdent.2003.10.009
31. Cairo F, Nieri M, Pagliaro U. Efficacy of periodontal plastic surgery procedures in the treatment of localized facial gingival recessions: a systematic review. J Clin Periodontol. 2014;41(suppl 15):S44-S62. doi:10.1111/jcpe.12182
Article available in :
Volume 4, Issue 2, 2026
Page : 66-69
https://doi.org/10.51271/JDSE-0079
Article Information
Received : 10 Nis 2026
Accepted : 22 May 2026
Published : 25 May 2026
Corresponding Author :

Senem Gündüz: Department of Restorative Dentistry, Faculty of Dentistry, Dicle University, Diyarbakır, Turkiye

[email protected]
Citation : Gündüz S, Çellik Ö. The relationship between stress distribution and adhesive failure in non-carious cervical lesions (NCCL): a review. J Dent Sci Educ. 2026;4(2):66-69.

Read: 32
Download : 57
Cited: 0
_Footer