Evaluation of a novel restorative protocol to treat non-carious cervical lesion associated with gingival recession: a 2-year follow-up randomized clinical trial

Ingrid Fernandes Mathias-Santamaria; Mauro Pedrine Santamaria; Camila Augusto Silveira; Frederico Canato Martinho; Mary Anne Sampaio de Melo; Andrea Carvalho De Marco; Marina Gullo Augusto; Guilherme Schmitt de Andrade; Jean François Roulet; Eduardo Bresciani

doi:10.1007/s00784-022-04806-1

Evaluation of a novel restorative protocol to treat non-carious cervical lesion associated with gingival recession: a 2-year follow-up randomized clinical trial

Ingrid Fernandes Mathias-Santamaria
, Mauro Pedrine Santamaria
, Camila Augusto Silveira
, Frederico Canato Martinho
, Mary Anne Sampaio de Melo
, Andrea Carvalho De Marco
, Marina Gullo Augusto
, Guilherme Schmitt de Andrade
, Jean François Roulet
, Eduardo Bresciani

Research output: Contribution to journal › Article › peer-review

8 Scopus citations

Abstract

Objective: To compare 2 different resin composites and 2 adhesive systems used in a new restorative protocol (partial restoration) to treat non-carious cervical lesions associated with gingival recession type 1 (RT1). Material and methods: Eighty combined defects (CDs) were treated with a partial restoration and periodontal plastic surgery for root coverage. The CDs were randomly assigned to one of the following groups: NP + TE (n = 20), nanofilled composite and 2-step total-etch adhesive system; NP + UA (n = 20), nanofilled composite and universal adhesive system; MH + TE (n = 20), microhybrid composite and 2-step total-etch adhesive; MH + UA (n = 20), microhybrid composite and universal adhesive. Restorations were assessed using the United States Public Health Service (USPHS) criteria at 1 week (baseline) and 6, 12, and 24 months. Survival rate, periodontal parameters, dentin hypersensitivity (DH), and aesthetics were also evaluated. Results: After 24 months, only the MH + TE group did not lose any restoration, with no significant differences between groups. For surface roughness parameter, MH presented 83.3% of the restorations scoring Bravo, whereas NP presented 48.5% of the restorations scoring Bravo. All groups presented restorations with marginal discoloration. All periodontal parameters behaved similarly, regardless of the restorative material. All groups presented significant reductions of dentin hypersensitivity and improved aesthetic perceptions (p < 0.05). Conclusion: Both resin composites and adhesives tested can be combined for partial restorations to treat CDs. Clinical relevance: This new restorative-surgical protocol to treat CDs presents satisfactory outcomes. The partial restorations can be successfully executed with both combinations of adhesives and resin composites evaluated in this investigation. TRN: ClinicalTrial.gov: NCT03215615; registration date July 12, 2017.

Original language	English
Pages (from-to)	1781-1792
Number of pages	12
Journal	Clinical Oral Investigations
Volume	27
Issue number	4
DOIs	https://doi.org/10.1007/s00784-022-04806-1
State	Published - Apr 2023

Bibliographical note

Publisher Copyright:
© 2022, The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

Funding

The authors would like to thank the Ultradent Inc. for the Valo light curing unit donated to Dr. Mathias-Santamaria. Dr. Mathias-Santamaria was supported by the Coordination for the Improvement of Higher Education Personnel (CAPES), Brazil-Finance Code 001. Dr. Mauro Santamaria is supported by the National Council for Scientific and Technological Development from Brazil, CNPq (grant # 304269/2019–0).

Funders	Funder number
Ultradent Inc.
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
Conselho Nacional de Desenvolvimento Científico e Tecnológico	304269/2019–0
Conselho Nacional de Desenvolvimento Científico e Tecnológico

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Composite resin
Dental restoration wear
Gingival recession
Tooth cervix
Tooth wear

ASJC Scopus subject areas

General Dentistry

Access to Document

10.1007/s00784-022-04806-1

Cite this

Mathias-Santamaria, I. F., Santamaria, M. P., Silveira, C. A., Martinho, F. C., de Melo, M. A. S., De Marco, A. C., Augusto, M. G., de Andrade, G. S., Roulet, J. F., & Bresciani, E. (2023). Evaluation of a novel restorative protocol to treat non-carious cervical lesion associated with gingival recession: a 2-year follow-up randomized clinical trial. Clinical Oral Investigations, 27(4), 1781-1792. https://doi.org/10.1007/s00784-022-04806-1

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title = "Evaluation of a novel restorative protocol to treat non-carious cervical lesion associated with gingival recession: a 2-year follow-up randomized clinical trial",

abstract = "Objective: To compare 2 different resin composites and 2 adhesive systems used in a new restorative protocol (partial restoration) to treat non-carious cervical lesions associated with gingival recession type 1 (RT1). Material and methods: Eighty combined defects (CDs) were treated with a partial restoration and periodontal plastic surgery for root coverage. The CDs were randomly assigned to one of the following groups: NP + TE (n = 20), nanofilled composite and 2-step total-etch adhesive system; NP + UA (n = 20), nanofilled composite and universal adhesive system; MH + TE (n = 20), microhybrid composite and 2-step total-etch adhesive; MH + UA (n = 20), microhybrid composite and universal adhesive. Restorations were assessed using the United States Public Health Service (USPHS) criteria at 1 week (baseline) and 6, 12, and 24 months. Survival rate, periodontal parameters, dentin hypersensitivity (DH), and aesthetics were also evaluated. Results: After 24 months, only the MH + TE group did not lose any restoration, with no significant differences between groups. For surface roughness parameter, MH presented 83.3\% of the restorations scoring Bravo, whereas NP presented 48.5\% of the restorations scoring Bravo. All groups presented restorations with marginal discoloration. All periodontal parameters behaved similarly, regardless of the restorative material. All groups presented significant reductions of dentin hypersensitivity and improved aesthetic perceptions (p < 0.05). Conclusion: Both resin composites and adhesives tested can be combined for partial restorations to treat CDs. Clinical relevance: This new restorative-surgical protocol to treat CDs presents satisfactory outcomes. The partial restorations can be successfully executed with both combinations of adhesives and resin composites evaluated in this investigation. TRN: ClinicalTrial.gov: NCT03215615; registration date July 12, 2017.",

keywords = "Composite resin, Dental restoration wear, Gingival recession, Tooth cervix, Tooth wear",

author = "Mathias-Santamaria, \{Ingrid Fernandes\} and Santamaria, \{Mauro Pedrine\} and Silveira, \{Camila Augusto\} and Martinho, \{Frederico Canato\} and \{de Melo\}, \{Mary Anne Sampaio\} and \{De Marco\}, \{Andrea Carvalho\} and Augusto, \{Marina Gullo\} and \{de Andrade\}, \{Guilherme Schmitt\} and Roulet, \{Jean Fran{\c c}ois\} and Eduardo Bresciani",

note = "Publisher Copyright: {\textcopyright} 2022, The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.",

year = "2023",

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doi = "10.1007/s00784-022-04806-1",

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Mathias-Santamaria, IF, Santamaria, MP, Silveira, CA, Martinho, FC, de Melo, MAS, De Marco, AC, Augusto, MG, de Andrade, GS, Roulet, JF & Bresciani, E 2023, 'Evaluation of a novel restorative protocol to treat non-carious cervical lesion associated with gingival recession: a 2-year follow-up randomized clinical trial', Clinical Oral Investigations, vol. 27, no. 4, pp. 1781-1792. https://doi.org/10.1007/s00784-022-04806-1

Evaluation of a novel restorative protocol to treat non-carious cervical lesion associated with gingival recession: a 2-year follow-up randomized clinical trial. / Mathias-Santamaria, Ingrid Fernandes; Santamaria, Mauro Pedrine; Silveira, Camila Augusto et al.
In: Clinical Oral Investigations, Vol. 27, No. 4, 04.2023, p. 1781-1792.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Evaluation of a novel restorative protocol to treat non-carious cervical lesion associated with gingival recession

T2 - a 2-year follow-up randomized clinical trial

AU - Mathias-Santamaria, Ingrid Fernandes

AU - Santamaria, Mauro Pedrine

AU - Silveira, Camila Augusto

AU - Martinho, Frederico Canato

AU - de Melo, Mary Anne Sampaio

AU - De Marco, Andrea Carvalho

AU - Augusto, Marina Gullo

AU - de Andrade, Guilherme Schmitt

AU - Roulet, Jean François

AU - Bresciani, Eduardo

PY - 2023/4

Y1 - 2023/4

N2 - Objective: To compare 2 different resin composites and 2 adhesive systems used in a new restorative protocol (partial restoration) to treat non-carious cervical lesions associated with gingival recession type 1 (RT1). Material and methods: Eighty combined defects (CDs) were treated with a partial restoration and periodontal plastic surgery for root coverage. The CDs were randomly assigned to one of the following groups: NP + TE (n = 20), nanofilled composite and 2-step total-etch adhesive system; NP + UA (n = 20), nanofilled composite and universal adhesive system; MH + TE (n = 20), microhybrid composite and 2-step total-etch adhesive; MH + UA (n = 20), microhybrid composite and universal adhesive. Restorations were assessed using the United States Public Health Service (USPHS) criteria at 1 week (baseline) and 6, 12, and 24 months. Survival rate, periodontal parameters, dentin hypersensitivity (DH), and aesthetics were also evaluated. Results: After 24 months, only the MH + TE group did not lose any restoration, with no significant differences between groups. For surface roughness parameter, MH presented 83.3% of the restorations scoring Bravo, whereas NP presented 48.5% of the restorations scoring Bravo. All groups presented restorations with marginal discoloration. All periodontal parameters behaved similarly, regardless of the restorative material. All groups presented significant reductions of dentin hypersensitivity and improved aesthetic perceptions (p < 0.05). Conclusion: Both resin composites and adhesives tested can be combined for partial restorations to treat CDs. Clinical relevance: This new restorative-surgical protocol to treat CDs presents satisfactory outcomes. The partial restorations can be successfully executed with both combinations of adhesives and resin composites evaluated in this investigation. TRN: ClinicalTrial.gov: NCT03215615; registration date July 12, 2017.

AB - Objective: To compare 2 different resin composites and 2 adhesive systems used in a new restorative protocol (partial restoration) to treat non-carious cervical lesions associated with gingival recession type 1 (RT1). Material and methods: Eighty combined defects (CDs) were treated with a partial restoration and periodontal plastic surgery for root coverage. The CDs were randomly assigned to one of the following groups: NP + TE (n = 20), nanofilled composite and 2-step total-etch adhesive system; NP + UA (n = 20), nanofilled composite and universal adhesive system; MH + TE (n = 20), microhybrid composite and 2-step total-etch adhesive; MH + UA (n = 20), microhybrid composite and universal adhesive. Restorations were assessed using the United States Public Health Service (USPHS) criteria at 1 week (baseline) and 6, 12, and 24 months. Survival rate, periodontal parameters, dentin hypersensitivity (DH), and aesthetics were also evaluated. Results: After 24 months, only the MH + TE group did not lose any restoration, with no significant differences between groups. For surface roughness parameter, MH presented 83.3% of the restorations scoring Bravo, whereas NP presented 48.5% of the restorations scoring Bravo. All groups presented restorations with marginal discoloration. All periodontal parameters behaved similarly, regardless of the restorative material. All groups presented significant reductions of dentin hypersensitivity and improved aesthetic perceptions (p < 0.05). Conclusion: Both resin composites and adhesives tested can be combined for partial restorations to treat CDs. Clinical relevance: This new restorative-surgical protocol to treat CDs presents satisfactory outcomes. The partial restorations can be successfully executed with both combinations of adhesives and resin composites evaluated in this investigation. TRN: ClinicalTrial.gov: NCT03215615; registration date July 12, 2017.

KW - Composite resin

KW - Dental restoration wear

KW - Gingival recession

KW - Tooth cervix

KW - Tooth wear

UR - https://www.scopus.com/pages/publications/85143205766

UR - https://www.scopus.com/pages/publications/85143205766#tab=citedBy

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SN - 1432-6981

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JO - Clinical Oral Investigations

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Evaluation of a novel restorative protocol to treat non-carious cervical lesion associated with gingival recession: a 2-year follow-up randomized clinical trial

Abstract

Bibliographical note

Funding

UN SDGs

Keywords

ASJC Scopus subject areas

Access to Document

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