Dentistry Review · Published 2026-06-01 · DOI 10.1016/j.dentre.2026.100397
Caroline G. Dudish, Martha G. Brackett, Rafael R. Pacheco, William W. Brackett
OBJECTIVES: To review the clinical relevance, indications, and material choices for restoring non-carious cervical lesions (NCCLs) to minimize lesion progression and maintain tooth integrity. METHODS: A literature review was conducted analyzing the etiology, morphology, and restorative approaches for NCCLs. The effectiveness of resin composite and glass ionomer materials using various adhesive strategies was assessed. RESULTS: NCCLs, being multifactorial in etiology, often progress erratically. Wedge-shaped NCCLs generate stress concentrations that can be alleviated by adhesive restoration. Restorations using total-etch or self-etching primer adhesive systems with selective enamel etching have shown to be effective. Glass ionomer restorations offer an alternative to resin composite when maintaining isolation through multiple bonding steps is challenging. elvis CONCLUSIONS: Restoration of NCCLs is indicated for lesions reaching a depth of 1.5 mm to prevent structural compromise. Resin composite restorations require careful adhesive selection, air abrasion and enamel beveling. Glass ionomer restorations require no tooth preparation and provide an efficient alternative when faster application employing fewer bonding steps is indicated. IMPLICATIONS: Appropriate restoration of NCCLs preserves tooth structure and function. Selecting the correct material and adhesive technique can improve clinical outcomes and long-term restoration success.
Abstract from DOAJ. Public domain (CC0 1.0).
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Dudish, C., Brackett, M., Pacheco, R., et al. (2026). Restoration of Non-Carious Cervical Lesions: A Clinical Review. Dentistry Review. https://doi.org/10.1016/j.dentre.2026.100397