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- Title
Treatment of single maxillary gingival recession associated with non‐carious cervical lesion: Randomized clinical trial comparing connective tissue graft alone to graft plus partial restoration.
- Authors
Santamaria, Mauro Pedrine; Silveira, Camila Augusto; Mathias, Ingrid Fernandes; Neves, Felipe Lucas da Silva; dos Santos, Lúcio Murilo; Jardini, Maria Aparecida Neves; Tatakis, Dimitris N.; Sallum, Enilson Antônio; Bresciani, Eduardo
- Abstract
Abstract: 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).
- Subjects
GINGIVAL recession; CONNECTIVE tissues; TRANSPLANTATION of organs, tissues, etc.; TOOTH cervix; TISSUE wounds; TOOTH sensitivity; COSMETIC dentistry; CLINICAL trials; DENTIN; PREVENTION; WOUNDS &; injuries; PHYSIOLOGY; THERAPEUTICS; MAXILLA surgery; SURGERY; DENTAL enamel; COMPARATIVE studies; DENTAL cements; DENTAL fillings; MEDICAL protocols; DENTAL pathology; RANDOMIZED controlled trials; TREATMENT effectiveness; PATIENT-centered care
- Publication
Journal of Clinical Periodontology, 2018, Vol 45, Issue 8, p968
- ISSN
0303-6979
- Publication type
Article
- DOI
10.1111/jcpe.12907