CTG and restoration in treatment of gingival recession associated with a cervical lesion: report of three cases

치경부 병소를 포함한 치은 퇴축 치료에 있어 결체 조직 이식과 수복 치료를 이용한 임상증례

  • Kim, Eun-Suk (Department of Periodontology, School of Dentistry, Kyungpook National University) ;
  • Park, Jin-Woo (Department of Periodontology, School of Dentistry, Kyungpook National University) ;
  • Suh, Jo-Young (Department of Periodontology, School of Dentistry, Kyungpook National University) ;
  • Lee, Jae-Mok (Department of Periodontology, School of Dentistry, Kyungpook National University)
  • 김은숙 (경북대학교 치의학전문대학원 치주과학교실) ;
  • 박진우 (경북대학교 치의학전문대학원 치주과학교실) ;
  • 서조영 (경북대학교 치의학전문대학원 치주과학교실) ;
  • 이재목 (경북대학교 치의학전문대학원 치주과학교실)
  • Published : 2009.12.31

Abstract

Purpose: The purpose of this report is to show three cases treated by an intergrated periodontal and restorative dentistry approach. Methods: Three patients with Miller Class Ⅰgingiva recessions associated with cervical lesions were enrolled for treatment. Two patients received a connective tissue graft and resin modified glass ionomer, and one patient was treated with a connective tissue graft, resin restoration. Keratinized gingiva and relative gingival recession were measured. Results: The mean reduction of relative gingival recession was 3.7 mm, and the mean keratinized gingiva increase was 2.5 mm. The percentage of root coverage was 80% in average. 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. Conclusions: This report indicates that teeth with Miller ClassⅠ gingival recession associated with cervical lesions can be successfully treated by a connective tissue graft combined with restorative dentistry. However, longitudinal randomized controlled clinical trials must be performed to support this approach.

Keywords

References

  1. Wennstrom JL. Mucogingival therapy. Ann Periodontol 1996;1:671-701 https://doi.org/10.1902/annals.1996.1.1.671
  2. Loe H, Anerud A, Boysen H. The natural history of periodontal disease in man: Prevalence, severity, and extent of gingival recessions. J Periodontol 1992;63:489-495 https://doi.org/10.1902/jop.1992.63.6.489
  3. Serino G, Wennström JL, Lindhe J, Enertoh L. The prevalence and distribution of gingival recession in subjects with high standard of oral hygiene. J Clin Periodontol 1994;21:57-36 https://doi.org/10.1111/j.1600-051X.1994.tb00278.x
  4. Sangnes G, Gjermo P. Prevalence of oral soft and hard tissue lesions related to mechanical toothcleansing procedures. Community Dent Oral Epidemiol 1976;4:77-83 https://doi.org/10.1111/j.1600-0528.1976.tb01607.x
  5. Toffenetti F, Vanini L, Tammaro S. Gingival recessions and noncarious cervical lesions: A soft and hard tissue challenge. J Esthet Dent 1998;10:208-220 https://doi.org/10.1111/j.1708-8240.1998.tb00359.x
  6. Zucchelli G, Testori T, De Sanctis M. Clinical and anatomical factors limiting treatment outcomes of gingival recession: A new method to predetermine the line root coverage. J Periodontol 2006;77:714-721 https://doi.org/10.1902/jop.2006.050038
  7. Matis BA, Cochran MA. Technique on restoring cervical lesions. Oper Dent 2002;27:525-527
  8. Chan DC, Adkins J. Technique on restoring subgingival cervical lesion. Oper Dent 2003;29:350-353
  9. Terry DA, Mcguire MK, Mclaren E, Fulton R, Swift EJ Jr. Perioesthetic approach to the diagnosis and treatment of carious and noncarious cervical lesions: Part II. J Esthet Restor Dent 2003;15:284-296 https://doi.org/10.1111/j.1708-8240.2003.tb00299.x
  10. Raetzke PB. Covering localized areas of root exposure employing the 'envelope' technique. J Periodontol 1985;56:397-402 https://doi.org/10.1902/jop.1985.56.7.397
  11. Langer B, Langer L. Subepithelial connective tissue graft technique for root coverage. J Periodontol 1985;56:715-720 https://doi.org/10.1902/jop.1985.56.12.715
  12. Nelson SW. The subepithelial connective tissue graft. A bilaminar reconstructive procedure for the coverage of denuded root surfaces. J Periodontol 1987;58:95-102 https://doi.org/10.1902/jop.1987.58.2.95
  13. Dragoo MR. Resin-ionomer and hybrid-ionomer cements: Part II, human clinical and histologic wound healing responses in specific periodontal lesions. Int J Periodontic Restorative Dent 1997;17:75-87
  14. Scherer W, Dragoo MR. New subgingival restorative procedures with Geristore resin ionomer. Pract Periodontics Aesthet Dent 1995;7:1-4
  15. White C Jr. Repair of a root resorption lesion, A case report. J Periodontol 1998;69:596-600 https://doi.org/10.1902/jop.1998.69.5.596
  16. Anderegg CR. The treatment of class Ⅲ maxillary furcations using a resin-ionomer: A case report. J Periodontol 1998;69:948-950 https://doi.org/10.1902/jop.1998.69.8.948
  17. Bruno JF, Bowers GM. Histology of a human biopsy section following the placement of a subepithelial connective tissue graft. Int J Periodontics Restorative Dent 2000;20:225-231
  18. Sasanaluckit P, Albustany KR, Doherty PJ, Williams DF. Biocompatibility of glass ionomer cements. Biomaterials 1993;14:906-916 https://doi.org/10.1016/0142-9612(93)90132-L
  19. el Mallakh BF, Sarkar NK. Fluride release from glass-ionomer cements in de-ionized water and artificial saliva. Dent Mater 1990;6:118-122 https://doi.org/10.1016/S0109-5641(05)80041-7
  20. Breault LG, Fowler EB, Primack PD. Endodontic perforation repair with resin-ionomer: A case report. J Contemp Dent Pract 2000;1:48-59
  21. Alkan A, Keskiner I, Yuzbasioglu E. Connective tissue grafting on resin ionomer in localized gingival recession. J Periodontol 2006;77:1446-1451 https://doi.org/10.1902/jop.2006.060021