TY - JOUR
T1 - Treatment of single maxillary gingival recession associated with non-carious cervical lesion
T2 - Randomized clinical trial comparing connective tissue graft alone to graft plus partial restoration
AU - Santamaria, Mauro Pedrine
AU - Silveira, Camila Augusto
AU - Mathias, Ingrid Fernandes
AU - Neves, Felipe Lucas da Silva
AU - Dos Santos, Lúcio Murilo
AU - Jardini, Maria Aparecida Neves
AU - Tatakis, Dimitris N.
AU - Sallum, Enilson Antônio
AU - Bresciani, Eduardo
N1 - Publisher Copyright:
© 2018 John Wiley & Sons A/S.
PY - 2018
Y1 - 2018
N2 - Background: Gingival recession (GR) is frequently associated with non-carious cervical lesion (NCCL) forming a combined defect (CD). The aim of this study was to evaluate a new multidisciplinary protocol for CDs. Methods: Forty patients presenting 40 Miller’s Class I or II GR defects associated with B+ tooth cervical defect were randomly allocated to one of the following treatments: test group (n = 20), partial restoration (PR) of the NCCL, in which the apical border of the restoration was placed 1 mm beyond the cement–enamel junction estimation, and connective tissue graft (CTG + PR) and Control Group (n = 20), odontoplasty of the NCCL and connective tissue graft (CTG). Clinical, aesthetic and patient-centred outcomes were evaluated. Results: After 12 months, CD coverage rates were 75.3% (2.5 ± 1.0 mm) for CTG + PR and 74.6% (2.4 ± 1.1 mm) for CTG (p > 0.05). The estimated complete root coverage was 60% (n = 12) for CTG + PR and 70% (n = 14) for CTG. CTG + PR resulted in significantly better dentin hypersensitivity (DH) reduction (p = 0.034). Both groups resulted in aesthetic improvements; however, the CTG + PR group showed better gingival contour results. Conclusions: CTG and CTG + PR were effective to treat CD. Use of PR resulted in better gingival margin contour and DH reduction, without effect on CD coverage by CTG. (NCT02817763).
AB - Background: Gingival recession (GR) is frequently associated with non-carious cervical lesion (NCCL) forming a combined defect (CD). The aim of this study was to evaluate a new multidisciplinary protocol for CDs. Methods: Forty patients presenting 40 Miller’s Class I or II GR defects associated with B+ tooth cervical defect were randomly allocated to one of the following treatments: test group (n = 20), partial restoration (PR) of the NCCL, in which the apical border of the restoration was placed 1 mm beyond the cement–enamel junction estimation, and connective tissue graft (CTG + PR) and Control Group (n = 20), odontoplasty of the NCCL and connective tissue graft (CTG). Clinical, aesthetic and patient-centred outcomes were evaluated. Results: After 12 months, CD coverage rates were 75.3% (2.5 ± 1.0 mm) for CTG + PR and 74.6% (2.4 ± 1.1 mm) for CTG (p > 0.05). The estimated complete root coverage was 60% (n = 12) for CTG + PR and 70% (n = 14) for CTG. CTG + PR resulted in significantly better dentin hypersensitivity (DH) reduction (p = 0.034). Both groups resulted in aesthetic improvements; however, the CTG + PR group showed better gingival contour results. Conclusions: CTG and CTG + PR were effective to treat CD. Use of PR resulted in better gingival margin contour and DH reduction, without effect on CD coverage by CTG. (NCT02817763).
KW - Dental esthetics
KW - Dentin sensitivity
KW - Gingival recession
KW - Tooth abrasion
UR - http://www.scopus.com/inward/record.url?scp=85053736474&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85053736474&partnerID=8YFLogxK
U2 - 10.1111/jcpe.12907
DO - 10.1111/jcpe.12907
M3 - Article
C2 - 29681059
AN - SCOPUS:85053736474
SN - 0303-6979
VL - 45
SP - 968
EP - 976
JO - Journal of Clinical Periodontology
JF - Journal of Clinical Periodontology
IS - 8
ER -