{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T01:47:36Z","timestamp":1776908856521,"version":"3.51.2"},"reference-count":31,"publisher":"Georg Thieme Verlag KG","license":[{"start":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T00:00:00Z","timestamp":1776643200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Dent"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>This study aimed to determine the relationship between occlusal and clinical factors\u2014including relative occlusal force, occlusion time (OT), disclusion time (DT), and occlusal schemes\u2014and the occurrence of non-carious cervical lesions (NCCLs) in post-orthodontic patients, using the T-Scan III system.<\/jats:p>\n                  <jats:p>Fifty-two patients who completed fixed orthodontic treatment within 1 year were purposively selected and divided into two groups: those with NCCLs (n\u2009=\u200926) and those without NCCLs (n\u2009=\u200926). A total of 1,336 teeth were evaluated (111 with NCCLs, 1,225 without). Data collection included a questionnaire, clinical examination, and T-Scan III recordings.<\/jats:p>\n                  <jats:p>Pearson's chi-square and multiple comparison tests were used for categorical variables. Relative occlusal forces were compared using the Mann\u2013Whitney U-test, while OT and DT were analyzed with independent-sample t-tests. Multiple linear regression identified predictive factors for NCCLs at both the subject and tooth levels. The significance level was set at p\u2009&lt;\u20090.05.<\/jats:p>\n                  <jats:p>Older age, combined orthodontic\u2013orthognathic surgery, and gingival recession were significantly associated with NCCL occurrence (p\u2009&lt;\u20090.05). Group-function occlusion was the only significant occlusal predictor (\u03b2\u2009=\u20090.365, p\u2009=\u20090.018). At the tooth level, gingival recession significantly predicted NCCLs (\u03b2\u2009=\u20090.499, p\u2009&lt;\u20090.001). The regression models explained 12.5 and 22.9% of the variance in NCCL occurrence at the subject and tooth levels, respectively. Teeth with NCCLs showed higher relative occlusal forces at maximum intercuspation (8.16\u2009\u00b1\u20098.41%) and during eccentric movements (37.86\u2009\u00b1\u200931.38%) than teeth without NCCLs (7.53\u2009\u00b1\u20099.26% and 30.09\u2009\u00b1\u200929.16%, respectively; p\u2009&lt;\u20090.05). Mean OT (0.27\u2009\u00b1\u20090.07\u2009seconds) and DT (0.50\u2009\u00b1\u20090.13\u2009seconds) were significantly longer in NCCL subjects than in controls (OT: 0.22\u2009\u00b1\u20090.06\u2009seconds; DT: 0.42\u2009\u00b1\u20090.11 second; p\u2009&lt;\u20090.05).<\/jats:p>\n                  <jats:p>Prolonged occlusion and DTs, higher relative occlusal forces, and group-function occlusion were significantly associated with the presence of NCCLs in post-orthodontic patients. Quantitative occlusal analysis using the T-Scan III system may help clinicians detect functional imbalances and prevent NCCL development during orthodontic follow-up.<\/jats:p>","DOI":"10.1055\/s-0046-1820077","type":"journal-article","created":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T01:33:09Z","timestamp":1776907989000},"source":"Crossref","is-referenced-by-count":0,"title":["Comparative Analysis of Occlusal Parameters in Post-Orthodontic Patients with and without Non-Carious Cervical Lesions Using T-Scan III"],"prefix":"10.1055","author":[{"given":"Mayurach","family":"Pipatphatsakorn","sequence":"additional","affiliation":[{"name":"Division of Orthodontics, Department of Preventive Dentistry, Faculty of Dentistry, Naresuan University, Phitsanulok, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nattapat","family":"Khamnuengsitthi","sequence":"additional","affiliation":[{"name":"Division of Operative Dentistry, Department of Restorative Dentistry, Faculty of Dentistry, Naresuan University, Phitsanulok, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2152-7245","authenticated-orcid":false,"given":"Jittima","family":"Pumklin","sequence":"additional","affiliation":[{"name":"Division of Occlusion, Department of Restorative Dentistry, Faculty of Dentistry, Naresuan University, Phitsanulok, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9026-5368","authenticated-orcid":false,"given":"Ratchawan","family":"Tansalarak","sequence":"additional","affiliation":[{"name":"Division of Operative Dentistry, Department of Restorative Dentistry, Faculty of Dentistry, Naresuan University, Phitsanulok, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2026,4,20]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1111\/j.1708-8240.1991.tb00799.x","article-title":"Abfractions: a new classification of hard tissue lesions of teeth","volume":"3","author":"J O Grippo","year":"1991","journal-title":"J Esthet Dent"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1016\/0022-3913(84)90448-7","article-title":"Possible role of tensile stress in the etiology of cervical erosive lesions of teeth","volume":"52","author":"W C Lee","year":"1984","journal-title":"J Prosthet Dent"},{"issue":"02","key":"ref3","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1046\/j.1365-2842.2002.00836.x","article-title":"The effect of variation in occlusal loading on the development of abfraction lesions: a finite element study","volume":"29","author":"J S Rees","year":"2002","journal-title":"J Oral Rehabil"},{"issue":"12","key":"ref4","doi-asserted-by":"crossref","first-page":"1135","DOI":"10.1016\/j.jdent.2013.10.007","article-title":"Fatigue of dental ceramics","volume":"41","author":"Y Zhang","year":"2013","journal-title":"J Dent"},{"issue":"03","key":"ref5","doi-asserted-by":"crossref","first-page":"273","DOI":"10.2341\/08-100","article-title":"Effect of lateral excursive movements on the progression of abfraction lesions","volume":"34","author":"I D Wood","year":"2009","journal-title":"Oper Dent"},{"issue":"02","key":"ref6","doi-asserted-by":"crossref","first-page":"410","DOI":"10.1016\/j.jbiomech.2013.11.012","article-title":"Stress amplifications in dental non-carious cervical lesions","volume":"47","author":"J C Guimar\u00e3es","year":"2014","journal-title":"J Biomech"},{"issue":"02","key":"ref7","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1111\/j.1365-2842.2007.01763.x","article-title":"The prevalence and severity of non-carious cervical lesions in a group of patients attending a university hospital in Trinidad","volume":"35","author":"W A Smith","year":"2008","journal-title":"J Oral Rehabil"},{"issue":"05","key":"ref8","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1159\/000359936","article-title":"The interactions between attrition, abrasion and erosion in tooth wear","volume":"25","author":"R P Shellis","year":"2014","journal-title":"Monogr Oral Sci"},{"issue":"06","key":"ref9","first-page":"435","article-title":"Tooth wear: attrition, erosion, and abrasion","volume":"34","author":"L A Litonjua","year":"2003","journal-title":"Quintessence Int"},{"issue":"05","key":"ref10","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1016\/S0022-3913(12)60180-2","article-title":"Clinical evaluation of the association between noncarious cervical lesions and occlusal forces","volume":"108","author":"D A Brandini","year":"2012","journal-title":"J Prosthet Dent"},{"issue":"02","key":"ref11","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1055\/s-0044-1789002","article-title":"Comparison of post-orthodontic occlusal force distributions between nonextraction and extraction treatment approaches of premolars for orthodontic treatment by using T-Scan III system","volume":"19","author":"R Tansalarak","year":"2025","journal-title":"Eur J Dent"},{"issue":"01","key":"ref12","first-page":"193","article-title":"Occlusal factors influencing non-carious cervical lesions in post-orthodontic patients: evaluation using T-Scan III","volume":"16","author":"N Khamnuengsitthi","year":"2023","journal-title":"J Int Dent Med Res"},{"issue":"01","key":"ref13","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1179\/2151090314Y.0000000024","article-title":"Computerized occlusal analysis as an alternative occlusal indicator","volume":"34","author":"K I Afrashtehfar","year":"2016","journal-title":"Cranio"},{"issue":"06","key":"ref14","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1080\/08869634.2015.1122277","article-title":"Comparison of closure occlusal force parameters in post-orthodontic and non-orthodontic subjects using T-Scan\u00ae III DMD occlusal analysis","volume":"34","author":"S Qadeer","year":"2016","journal-title":"Cranio"},{"issue":"03","key":"ref16","doi-asserted-by":"crossref","first-page":"656","DOI":"10.1055\/s-0041-1739438","article-title":"Comparison of occlusal parameters between open bite and nonopen bite patients using the T-Scan III system: a pilot study","volume":"16","author":"K Chaikla","year":"2022","journal-title":"Eur J Dent"},{"issue":"04","key":"ref17","first-page":"212","article-title":"Occlusal stress is involved in the formation of non-carious cervical lesions. A systematic review of abfraction","volume":"30","author":"D Duangthip","year":"2017","journal-title":"Am J Dent"},{"issue":"02","key":"ref18","doi-asserted-by":"crossref","first-page":"43","DOI":"10.3390\/diagnostics9020043","article-title":"Association of non-carious cervical lesions with oral hygiene habits and dynamic occlusal parameters","volume":"9","author":"S B Haralur","year":"2019","journal-title":"Diagnostics (Basel)"},{"issue":"02","key":"ref19","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1037\/0033-2909.86.2.420","article-title":"Intraclass correlations: uses in assessing rater reliability","volume":"86","author":"P E Shrout","year":"1979","journal-title":"Psychol Bull"},{"issue":"05","key":"ref20","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1016\/0022-3913(91)90453-4","article-title":"Electromyographic and computer analyses of patients suffering from chronic myofascial pain-dysfunction syndrome: before and after treatment with immediate complete anterior guidance development","volume":"66","author":"R B Kerstein","year":"1991","journal-title":"J Prosthet Dent"},{"issue":"04","key":"ref21","doi-asserted-by":"crossref","first-page":"241","DOI":"10.5455\/aim.2014.22.241-245","article-title":"Analysis of the abfraction lesions formation mechanism by the finite element method","volume":"22","author":"S Jakupovic","year":"2014","journal-title":"Acta Inform Med"},{"issue":"01","key":"ref22","first-page":"234845","article-title":"Stress analysis of occlusal forces in canine teeth and their role in the development of non-carious cervical lesions: abfraction","volume":"2012","author":"S A Romeed","year":"2012","journal-title":"Int J Dent"},{"issue":"05","key":"ref23","doi-asserted-by":"crossref","first-page":"571","DOI":"10.1016\/j.prosdent.2015.10.021","article-title":"Factors influencing the progression of noncarious cervical lesions: a 5-year prospective clinical evaluation","volume":"115","author":"K Sawlani","year":"2016","journal-title":"J Prosthet Dent"},{"issue":"05","key":"ref24","doi-asserted-by":"crossref","first-page":"899","DOI":"10.1016\/0022-3913(61)90148-2","article-title":"Functional occlusion of the natural teeth of man","volume":"11","author":"A D'Amico","year":"1961","journal-title":"J Prosthet Dent"},{"issue":"04","key":"ref25","doi-asserted-by":"crossref","first-page":"265","DOI":"10.59566\/IJBS.2014.10265","article-title":"Role of brushing and occlusal forces in non-carious cervical lesions (NCCL)","volume":"10","author":"D Sadaf","year":"2014","journal-title":"Int J Biomed Sci"},{"issue":"01","key":"ref26","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1111\/j.1365-2842.2006.01532.x","article-title":"Epidemiological evaluation of the multifactorial aetiology of abfractions","volume":"33","author":"O Bernhardt","year":"2006","journal-title":"J Oral Rehabil"},{"issue":"06","key":"ref27","doi-asserted-by":"crossref","first-page":"725","DOI":"10.14219\/jada.archive.2002.0268","article-title":"Characteristics of noncarious cervical lesions: a clinical investigation","volume":"133","author":"T C Aw","year":"2002","journal-title":"J Am Dent Assoc"},{"issue":"04","key":"ref28","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1016\/0300-5712(94)90107-4","article-title":"Non-carious cervical lesions","volume":"22","author":"L C Levitch","year":"1994","journal-title":"J Dent"},{"issue":"01","key":"ref29","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1186\/s40510-015-0101-1","article-title":"Treatment duration and factors associated with the surgery-first approach: a two-center study","volume":"16","author":"F Uribe","year":"2015","journal-title":"Prog Orthod"},{"issue":"05","key":"ref30","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1080\/00016357.2017.1317830","article-title":"Duration of 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