Periodontal Surgery and Glass Ionomer Restoration in the Treatment of Gingival Recession Associated With a Non‐Carious Cervical Lesion: Report of Three Cases

Santamaria, Milton; Suaid, Fabricia Ferreira; Nociti, Francisco Humberto; Casati, Márcio Zaffalon; Sallum, Antônio Wilson; Sallum, Enílson Antônio

doi:10.1902/jop.2007.060402

Cited by 32 publications

(62 citation statements)

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“…(3) Diversos fatores etiológicos são atribuídos a essa condição clínica, como hábitos de higiene oral, má posição dentária, inserção anormal de bridas e freios, deiscências ósseas, fatores iatrogênicos relacionados a procedimentos restauradores e ortodônticos e doença periodontal. (1,4) Porém, eles podem ser divididos em dois grupos: fatores precipitantes ou primários, que induzem diretamente a recessão gengival e fatores predisponentes, que favorecem a área ao seu acometimento. (3) Os fatores etiológicos primários são o acúmulo de placa com a resultante doença periodontal inflamatória e o trauma mecânico associado à técnica de higiene oral inadequada.…”

Section: Introductionunclassified

“…(7) É altamente improvável que esse trauma fique limitado à área da raiz exposta, ele provavelmente envolve toda a região cervical, portanto, ambos o esmalte e o cemento, ocasionando o desaparecimento da JCE. (4,7) A primeira etapa do tratamento dessa condição clínica deve ser a eliminação e controle de todos os fatores etiológicos potenciais relacionados com a causa da recessão gengival e abrasão cervical, (4,9) etapa da qual depende o sucesso e a longevidade do tratamento.…”

Section: Introductionunclassified

“…Apenas a restauração do defeito, não resolve a queixa estética do paciente, pois resultará em um dente excessivamente longo. (4,6,7) Da mesma forma, se a terapia mucogengival para recobrimento radicular for realizada individualmente, a abrasão pode não ser totalmente recoberta e a hipersensibilidade dentinária pode persistir, (4) além de comprometer também a harmonia estética.…”

Section: Introductionunclassified

“…(2,4,6,7) O preenchimento do defeito torna a superfície radicular mais adequada para o procedimento cirúrgico mucogengival de recobrimento devido à restauração do perfil de emergência do dente, o que promove uma estável, lisa e convexa substância dura para o posicionamento do retalho, além de facilitar o controle de placa do paciente.…”

Section: Introductionunclassified

“…(4) Nesses casos, a concavidade da lesão pode ser eliminada através do aplainamento radicular com instrumentos manuais ou brocas diamantadas de acabamento em alta rotação, com o intuito de promover uma melhor adaptação do retalho. (4) Uma abrasão profunda pode criar um espaço morto entre a superfície radicular e o tecido conjuntivo do retalho, comprometendo a sua adaptação. (4) Portanto, faz-se necessária a restauração de tais defeitos previamente à cirurgia periodontal.…”

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Tratamento De Dentes Com Recessão Gengival E Abrasão Cervical

et al. 2012

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ResumoObjetivo: Revisar a literatura e apresentar um caso tratado com uma abordagem restauradora e periodontal integrada. Descrição do caso: O tratamento de uma recessão classe III de Miller com abrasão cervical no canino superior esquerdo, a qual foi previamente restaurada com resina composta e recoberta com enxerto de tecido conjuntivo subepitelial, mostrou melhora da hipersensibilidade e estética com ausência de sinais de inflamação. Conclusão: A recessão gengival classe I e II de Miller com abrasão cervical pode ser tratada com sucesso combinando a restauração do defeito com o recobrimento radicular. Contudo, são necessários mais estudos para confirmar esses resultados.Palavras-chave: Recessão gengival. Retalho cirúrgico. Abrasão dentária. TREATMENT OF GINGIVAL RECESSION WITH CERVICAL ABRASION AbstractPurpose: To review the literature and show a case treated by an integrated restorative and periodontal approach. Case description: A treatment of a Miller Class III gingival recession associated with cervical abrasion on his maxillary left canine, which was previously restored with resin composite and covered by a subepthelial connective tissue graft showed improvement of the hypersensitivity and esthetics with no signs of gingival inflammation. Conclusions: The Miller Class I and II gingival recession with cervical abrasion can be successfully treated associating the defect restoration with the root recover. However, it's necessary more studies to support these positive results.

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Tratamento De Dentes Com Recessão Gengival E Abrasão Cervical

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Single gingival recession associated with non‐carious cervical lesion treated by partial restoration and coronally advanced flap with or without xenogenous collagen matrix: A randomized clinical trial evaluating the coverage procedures and restorative protocol

Mathias‐Santamaria

Silva

Rossato

et al. 2021

Journal of Periodontology

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Background: Evaluate the use of collagen matrix (CM) as adjunctive to coronally advanced flap (CAF versus CAF + CM) to treat gingival recession (GR) associated with non-carious cervical lesion-combined defects (CDs).Methods: Sixty-two patients presenting 62 CDs (RT1 GR and non-carious cervical lesion (NCCLs) were randomly allocated to either CAF group (n = 31): partial restoration of the NCCL and CAF; or to CAF + CM group (n = 31): partial restoration of the NCCL and CAF associated with CM. Clinical, esthetic, patientcentered outcomes, and restorative parameters were assessed. Results: After 12 months, CD coverage were 55.2% for CAF and 54.4% for CAF + CM (P = 0.8). Recession reduction were 1.9 ± 0.8 mm for CAF and 2.0 ± 0.7 mm for CAF + CM (P = 0.6). CAF+CM resulted in higher increase in keratinized tissue (KT) width (CAF: 0.3 ± 0.7 mm; CAF + CM: 0.9 ± 0.8 mm; P = 0.004) and KT thickness gain (CAF: 0.1 ± 0.3 mm; CAF + CM: 0.7 ± 0.2 mm; P = 0.001). Both treatments presented low postoperative pain and resulted in esthetics improvements. In addition, no restoration was lost, 27.4% showed a reduction of the superficial polishing, and 8% showed marginal staining, but still clinically acceptable. Conclusion: Partial resin composite restoration (with the apical limit up to 1 mm of the estimated CEJ) and CAF alone or combined with CM are suitable for treating CDs. The use of CM provided additional benefits in terms of KT width and thickness gain. (NCT03341598).

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Multiple gingival recessions associated with non‐carious cervical lesions treated by partial restoration and modified coronally advanced flap with either connective tissue graft or xenogeneic acellular dermal matrix: A randomized clinical trial

Santamaría

Rossato

Ferraz

et al. 2023

Journal of Periodontology

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Background This study aimed to compare a connective tissue graft (CTG) to a (porcine) xenogeneic acellular dermal matrix (XDM), both associated with modified coronally advanced flap (MCAF) and partial resin composite restoration to treat multiple combined defects (CDs). Methods Seventy‐eight defects in 38 patients presenting multiple combined defects, that is, gingival recession associated with non‐carious cervical lesions, were treated by partial resin composite restoration (apical margin up to 1 mm of the estimated cement‐enamel junction) and MCAF along with CTG or XDM. After 6 months, the groups were compared with regard to clinical, patient‐centered, and esthetic outcomes. Results CD coverage was 72.9% for CTG versus 50.7% for XDM (P < 0.001). Recession reduction was 2.3 mm for CTG versus 1.5 mm for XDM (P < 0.001). CTG resulted in a greater increase in keratinized tissue width (CTG: 0.96 mm vs. XDM: 0.3 mm, P = 0.04) and gingival thickness (CTG: 0.9 mm vs. XDM: 0.3 mm, P < 0.001). Both treatments successfully reduced dentin hypersensitivity and increased esthetics satisfaction, with no statistically significant intergroup differences. Moreover, XDM patients experienced a shorter surgery duration (CTG: 57.2 min vs. XDM: 37.4 min, P < 0.001) and less time to no pain (visual analog scale = 0; CTG: 6.5 days vs. XDM: 3.5 days, P = 0.04). Conclusion CTG resulted in significantly greater root coverage and increased keratinized tissue width compared to XDM for treating multiple partially restored CDs. However, increased root coverage at the CTG sites was accounted for by increased probing depth compared to the XDM sites

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Periodontal Surgery and Glass Ionomer Restoration in the Treatment of Gingival Recession Associated With a Non‐Carious Cervical Lesion: Report of Three Cases

Cited by 32 publications

References 16 publications

Tratamento De Dentes Com Recessão Gengival E Abrasão Cervical

Tratamento De Dentes Com Recessão Gengival E Abrasão Cervical

Single gingival recession associated with non‐carious cervical lesion treated by partial restoration and coronally advanced flap with or without xenogenous collagen matrix: A randomized clinical trial evaluating the coverage procedures and restorative protocol

Multiple gingival recessions associated with non‐carious cervical lesions treated by partial restoration and modified coronally advanced flap with either connective tissue graft or xenogeneic acellular dermal matrix: A randomized clinical trial

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