Book Review: Noncarious Cervical Lesions and Cervical Dentin Hypersensitivity: Etiology, Diagnosis and Treatment

By Dr. Virginia McKenzie Melmed

Noncarious cervical lesions (NCCLs) and cervical dentin hypersensitivity (CDH) affect more people than caries and periodontal disease in most high-income countries.  In private practice, clinicians often focus on treating the symptoms associated with these conditions, rather than address the etiologies. In Noncarious Cervical Lesions and Cervical Dentin Hypersensitivity: Etiology, Diagnosis and Treatment, Doctors Paulo V. Sores and John O. Grippo combine their clinical experience and all relevant research to dive into every aspect of NCCLs and CDH and prove the etiologies must be understood to treat these conditions successfully.  After reading this book, the dental clinician will be able to identify and understand the etiology of NCCLs and CDH, so he can stop its progression and treat it successfully.

Noncarious Cervical Lesions and Cervical Dentin Hypersensitivity is divided into three sections:  Introduction, Mechanisms of Action, and Diagnosis and Treatment.  Section I provides the necessary historical background and prevalence data of NCCLs and CDH and explores the specific characteristics of tooth anatomy that make a tooth’s cervical region less resistant to the mechanisms of stress, friction and biocorrosion. The formation of NCCLs is multifactorial, so Section II devotes a chapter to each one of the mechanisms of etiology (stress, friction and biocorrosion), explaining how each mechanism contributes to the development of NCCLs and the effects of these mechanisms working in combination.  The chapter on biocorrosion discusses which patients are considered high risk for developing NCCLs and CDH.

After providing a thorough background into the etiology of NCCLs in Sections I and II, Section III provides the reader with detailed information into the morphological characteristics of the lesions and proposes a new classification of NCCLs to aid in identifying the etiologic factors and determining the appropriate treatment. Nonrestorative protocols of occlusal, chemical, and laser therapies are described in detail, as well as when each of these therapies is indicated. Step-by-step restorative protocols of composite bonding and indirect restorations are thoroughly explained and dental materials recommended for NCCL restorations (Table 9-2) are provided. The textbook concludes with a chapter devoted to surgical protocols, where the severity of the recession defect determines the treatment approach.

When a condition is so often observed in dental practice, it must be addressed.  With this textbook, Doctors Soarer and Grippo provide everything a dental clinician needs to know on the focused topic of non carious cervical lesions and cervical dentin hypersensitivity.  The chapters are logically organized.  The chosen illustrations are beautiful photographs or easy-to-read tables with captions that provide clarity to the illustrations and text.  The end of each chapter contains a purple conclusion box, which highlights the most important concepts from that chapter.  This book is informative, easy-to-understand, and research-based.  I would recommend this book to any dental student, practicing dental clinician, and researcher.

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