Periodontal surgery and glass ionomer restoration in the treatment of gingival recession associated with a non-carious cervical lesion: Report of three cases

Mauro Pedrine Santamaria, Fabrícia Ferreira Suaid, Francisco Humberto Nociti, Márcio Zaffalon Casati, Antônio Wilson Sallum, Enilson Antônio Sallum

Research output: Contribution to journalArticlepeer-review

30 Scopus citations

Abstract

Background: Buccal gingival recession is a prevalent problem in populations with a high standard of oral hygiene and is very often associated with a non-carious cervical lesion, complicating treatment. The purpose of this report is to show three cases treated by an integrated periodontal and restorative dentistry approach. Methods: Three patients with Miller Class I gingival recessions associated with non-carious cervical lesions were enrolled for treatment. One patient received a coronally positioned flap and a resin-modified glass ionomer restoration, and two patients were treated with a coronally positioned flap, resin-modified glass ionomer restoration, and connective tissue graft. Probing depth (PD), relative gingival recession (RGR), and clinical attachment level (CAL) were measured at baseline and at 6 and 8 months after surgery. Results: After the healing period, all patients showed CAL gain and reduction in RGR. No difference was observed on PDs compared to baseline. No signs of gingival inflammation or bleeding on probing were seen. The patients were satisfied with the final esthetics and had no more dentin hypersensitivity. Conclusion: This report indicates that teeth with Miller Class I gingival recessions associated with non-carious cervical lesions can be successfully treated by an integrated periodontal and restorative dentistry approach; however, longitudinal randomized controlled clinical trials must be performed to support this approach.

Original languageEnglish
Pages (from-to)1146-1153
Number of pages8
JournalJournal of Periodontology
Volume78
Issue number6
DOIs
StatePublished - Jun 2007

Keywords

  • Cemento-enamel junction
  • Gingival recession/surgery
  • Glass ionomer cement
  • Surgical flap
  • Tooth abrasion

ASJC Scopus subject areas

  • Periodontics

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