Journal of Periodontal and Implant Science

Korean Academy of Periodontology (대한치주과학회)
권호 표지
DOI QR코드

DOI QR Code

Treatment efficacy of gingival recession defects associated with non-carious cervical lesions: a systematic review

  • Oliveira, Livia Maria Lopes de (Department of Prosthetics and Orofacial Surgery, UFPE-Universidade Federal de Pernambuco) ;
  • Souza, Camila Agra (Department of Prosthetics and Orofacial Surgery, UFPE-Universidade Federal de Pernambuco) ;
  • Cunha, Sinara (Department of Prosthetics and Orofacial Surgery, UFPE-Universidade Federal de Pernambuco) ;
  • Siqueira, Rafael (Department of Periodontics and Oral Medicine, University of Michigan) ;
  • Vajgel, Bruna de Carvalho Farias (Department of Prosthetics and Orofacial Surgery, UFPE-Universidade Federal de Pernambuco) ;
  • Cimoes, Renata (Department of Prosthetics and Orofacial Surgery, UFPE-Universidade Federal de Pernambuco)
  • Received : 2021.05.02
  • Accepted : 2021.09.16
  • Published : 2022.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This systematic review aimed to compare the efficacy, defined in terms of the mean percentage of root coverage (mRC), of surgical treatment approaches combined with adhesive restorations of non-carious cervical lesions (NCCLs) to that of root coverage alone in patients with a single gingival recession (GR) and NCCL. Methods: A literature search was conducted to identify longitudinal studies reporting the mRC following treatment for the correction of GR defects associated with NCCLs using a combination of surgical and restorative techniques in systemically and periodontally healthy patients. Results: The search resulted in the retrieval of 12,409 records. Seven publications met the inclusion criteria for the qualitative synthesis of data. The mRCs ranged from 69% to 97%. In the medium term, the gingival margin position was more stable when a connective tissue graft (CTG) was used, independently of whether restoration of teeth with NCCLs was performed. Conclusions: The strength of the evidence was limited by methodological heterogeneity in terms of study design as well as the unit and period of analysis, which precluded a metaanalysis. Although no definitive conclusion could be drawn due to the lack of sufficient evidence to estimate the effectiveness of the interventions, CTG-based procedures contributed to gingival margin stability regardless of the performance of restoration to treat NCCLs.

Keywords

Acknowledgement

LM received a scholarship from the Brazilian funding agency Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior (Coordination for the Advancement of Higher Education Personnel [CAPES] number: 00.889.834/0001-08).

References

  1. Caffesse RG, Guinard EA. Treatment of localized gingival recessions. Part II. Coronally repositioned flap with a free gingival graft. J Periodontol 1978;49:357-61. https://doi.org/10.1902/jop.1978.49.7.357
  2. Loe H, Anerud A, Boysen H. The natural history of periodontal disease in man: prevalence, severity, and extent of gingival recession. J Periodontol 1992;63:489-95. https://doi.org/10.1902/jop.1992.63.6.489
  3. Jati AS, Furquim LZ, Consolaro A. Gingival recession: its causes and types, and the importance of orthodontic treatment. Dental Press J Orthod 2016;21:18-29.
  4. Billings M, Holtfreter B, Papapanou PN, Mitnik GL, Kocher T, Dye BA. Age-dependent distribution of periodontitis in two countries: Findings from NHANES 2009 to 2014 and SHIP-TREND 2008 to 2012. J Periodontol 2018;89 Suppl 1:S140-58. https://doi.org/10.1002/JPER.17-0670
  5. Chrysanthakopoulos NA. Gingival recession: prevalence and risk indicators among young Greek adults. J Clin Exp Dent 2014;6:e243-9. https://doi.org/10.4317/jced.51354
  6. Costa RSA, Rios FS, Moura MS, Jardim JJ, Maltz M, Haas AN. Prevalence and risk indicators of dentin hypersensitivity in adult and elderly populations from Porto Alegre, Brazil. J Periodontol 2014;85:1247-58. https://doi.org/10.1902/jop.2014.130728
  7. Wagner TP, Costa RSA, Rios FS, Moura MS, Maltz M, Jardim JJ, et al. Gingival recession and oral health-related quality of life: a population-based cross-sectional study in Brazil. Community Dent Oral Epidemiol 2016;44:390-9. https://doi.org/10.1111/cdoe.12226
  8. Pini-Prato G, Magnani C, Zaheer F, Rotundo R, Buti J. Influence of inter-dental tissues and root surface condition on complete root coverage following treatment of gingival recessions: a 1-year retrospective study. J Clin Periodontol 2015;42:567-74. https://doi.org/10.1111/jcpe.12407
  9. Pini Prato GP, Magnani C, Chambrone L. Long-term evaluation (20 years) of the outcomes of coronally advanced flap in the treatment of single recession-type defects. J Periodontol 2018;89:265-74. https://doi.org/10.1002/jper.17-0379
  10. Pini Prato GP, Franceschi D, Cortellini P, Chambrone L. Long-term evaluation (20 years) of the outcomes of subepithelial connective tissue graft plus coronally advanced flap in the treatment of maxillary single recession-type defects. J Periodontol 2018;89:1290-9. https://doi.org/10.1002/jper.17-0619
  11. Cairo F, Pagliaro U, Buti J, Baccini M, Graziani F, Tonelli P, et al. Root coverage procedures improve patient aesthetics. A systematic review and Bayesian network meta-analysis. J Clin Periodontol 2016;43:965-75. https://doi.org/10.1111/jcpe.12603
  12. Cairo F. Periodontal plastic surgery of gingival recessions at single and multiple teeth. Periodontol 2000 2017;75:296-316. https://doi.org/10.1111/prd.12186
  13. Madeley E, Duane B. Coronally advanced flap combined with connective tissue graft; treatment of choice for root coverage following recession? Evid Based Dent 2017;18:6-7. https://doi.org/10.1038/sj.ebd.6401215
  14. Santamaria MP, da Silva Feitosa D, Casati MZ, Nociti FH Jr, Sallum AW, Sallum EA. Randomized controlled clinical trial evaluating connective tissue graft plus resin-modified glass ionomer restoration for the treatment of gingival recession associated with non-carious cervical lesion: 2-year follow-up. J Periodontol 2013;84:e1-8. https://doi.org/10.1902/jop.2013.120447
  15. Santamaria MP, Queiroz LA, Mathias IF, Neves FL, Silveira CA, Bresciani E, et al. Resin composite plus connective tissue graft to treat single maxillary gingival recession associated with non-carious cervical lesion: randomized clinical trial. J Clin Periodontol 2016;43:461-8. https://doi.org/10.1111/jcpe.12524
  16. Cairo F, Cortellini P, Nieri M, Pilloni A, Barbato L, Pagavino G, et al. Coronally advanced flap and composite restoration of the enamel with or without connective tissue graft for the treatment of single maxillary gingival recession with non-carious cervical lesion. A randomized controlled clinical trial. J Clin Periodontol 2020;47:362-71. https://doi.org/10.1111/jcpe.13229
  17. Moher D, Shamseer L, Clarke M, Ghersi D, Liberati A, Petticrew M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst Rev 2015;4:1. https://doi.org/10.1186/2046-4053-4-1
  18. Lang NP, Bartold PM. Periodontal health. J Clin Periodontol 2018;45 Suppl 20:S9-16. https://doi.org/10.1111/jcpe.12936
  19. Bimstein E, Eidelman E. Morphological changes in the attached and keratinized gingiva and gingival sulcus in the mixed dentition period. A 5-year longitudinal study. J Clin Periodontol 1988;15:175-9. https://doi.org/10.1111/j.1600-051X.1988.tb01565.x
  20. Higgins JP, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, et al. Cochrane handbook for systematic reviews of interventions. Chichester: John Wiley & Sons; 2019.
  21. Lucchesi JA, Santos VR, Amaral CM, Peruzzo DC, Duarte PM. Coronally positioned flap for treatment of restored root surfaces: a 6-month clinical evaluation. J Periodontol 2007;78:615-23. https://doi.org/10.1902/jop.2007.060380
  22. Santamaria MP, Suaid FF, Casati MZ, Nociti FH Jr, Sallum AW, Sallum EA. Coronally positioned flap plus resin-modified glass ionomer restoration for the treatment of gingival recession associated with noncarious cervical lesions: a randomized controlled clinical trial. J Periodontol 2008;79:621-8. https://doi.org/10.1902/jop.2008.070285
  23. Santamaria MP, da Silva Feitosa D, Nociti FH Jr, Casati MZ, Sallum AW, Sallum EA. Cervical restoration and the amount of soft tissue coverage achieved by coronally advanced flap: a 2-year follow-up randomized-controlled clinical trial. J Clin Periodontol 2009;36:434-41. https://doi.org/10.1111/j.1600-051X.2009.01389.x
  24. Santamaria MP, Ambrosano GM, Casati MZ, Nociti Junior FH, Sallum AW, Sallum EA. Connective tissue graft plus resin-modified glass ionomer restoration for the treatment of gingival recession associated with non-carious cervical lesion: a randomized-controlled clinical trial. J Clin Periodontol 2009;36:791-8. https://doi.org/10.1111/j.1600-051X.2009.01441.x
  25. Santamaria MP, Silveira CA, Mathias IF, Neves FLDS, Dos Santos LM, Jardini MAN, et al. 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. J Clin Periodontol 2018;45:968-76. https://doi.org/10.1111/jcpe.12907
  26. Dursun E, Guncu GN, Dursun CK, Kiremitci A, Karabulut E, Akalin FA. Nanofilled and conventional resin-modified glass ionomer fillings combined with connective tissue grafts for treatment of gingival recessions with non-carious cervical lesions. J Oral Sci 2018;60:344-51. https://doi.org/10.2334/josnusd.17-0190
  27. Gharat MR, Zingade AN, Metgud R, Ajbani JM, Kaderi MA. Treatment of gingival recession associated with non-carious cervical lesions using resin modified glass ionomer cement with connective tissue graft a randomized controlled clinical trial. J Dent Mater Tech 2019;8:85-94.
  28. Zucchelli G, Testori T, De Sanctis M. Clinical and anatomical factors limiting treatment outcomes of gingival recession: a new method to predetermine the line of root coverage. J Periodontol 2006;77:714-21. https://doi.org/10.1902/jop.2006.050038
  29. Zucchelli G, Mele M, Stefanini M, Mazzotti C, Mounssif I, Marzadori M, et al. Predetermination of root coverage. J Periodontol 2010;81:1019-26. https://doi.org/10.1902/jop.2010.090701
  30. Isler SC, Ozcan G, Ozcan M, Omurlu H. Clinical evaluation of combined surgical/ restorative treatment of gingival recession-type defects using different restorative materials: a randomized clinical trial. J Dent Sci 2018;13:20-9. https://doi.org/10.1016/j.jds.2017.09.004
  31. Cairo F, Rotundo R, Miller PD Jr, Pini Prato GP. Root coverage esthetic score: a system to evaluate the esthetic outcome of the treatment of gingival recession through evaluation of clinical cases. J Periodontol 2009;80:705-10. https://doi.org/10.1902/jop.2009.080565
  32. Alkan A, Keskiner I, Yuzbasioglu E. Connective tissue grafting on resin ionomer in localized gingival recession. J Periodontol 2006;77:1446-51. https://doi.org/10.1902/jop.2006.060021
  33. Santamaria MP, Saito MT, Casati MZ, Nociti Junior FH, Sallum AW, Sallum EA. Gingival recession associated with noncarious cervical lesions: combined periodontal-restorative approach and the treatment of long-term esthetic complications. Gen Dent 2012;60:306-11.
  34. Yang S, Lee H, Jin SH. A combined approach to non-carious cervical lesions associated with gingival recession. Restor Dent Endod 2016;41:218-24. https://doi.org/10.5395/rde.2016.41.3.218
  35. Santos VR, Lucchesi JA, Cortelli SC, Amaral CM, Feres M, Duarte PM. Effects of glass ionomer and microfilled composite subgingival restorations on periodontal tissue and subgingival biofilm: a 6-month evaluation. J Periodontol 2007;78:1522-8. https://doi.org/10.1902/jop.2007.070032
  36. Santamaria MP, Casati MZ, Nociti FH Jr, Sallum AW, Sallum EA, Aukhil I, et al. Connective tissue graft plus resin-modified glass ionomer restoration for the treatment of gingival recession associated with non-carious cervical lesions: microbiological and immunological results. Clin Oral Investig 2013;17:67-77. https://doi.org/10.1007/s00784-012-0690-8
  37. Cairo F, Pini-Prato GP. A technique to identify and reconstruct the cementoenamel junction level using combined periodontal and restorative treatment of gingival recession. A prospective clinical study. Int J Periodontics Restorative Dent 2010;30:573-81.
  38. Zucchelli G, Gori G, Mele M, Stefanini M, Mazzotti C, Marzadori M, et al. Non-carious cervical lesions associated with gingival recessions: a decision-making process. J Periodontol 2011;82:1713-24. https://doi.org/10.1902/jop.2011.110080
  39. Perez LA, Lee A, Medina G, Eber R, Wang HL, Oh TJ. Combination flap surgery with resin-modified glass ionomer for the treatment of radicular lesions: a long-term follow-up. Int J Periodontics Restorative Dent 2013;33:825-32. https://doi.org/10.11607/prd.1570
  40. Sharma V, Sharma M, Singh P, Saxena H, Sharma V, Sharma S, et al. Cervical restoration and the amount of soft tissue coverage achieved by coronally advanced flap. J Adv Med Dent Sci Res 2019;7:65-9.
  41. Santamaria MP, Ambrosano GMB, Casati MZ, Nociti FH Jr, Sallum AW, Sallum EA. The influence of local anatomy on the outcome of treatment of gingival recession associated with non-carious cervical lesions. J Periodontol 2010;81:1027-34. https://doi.org/10.1902/jop.2010.090366
  42. Santamaria MP, Mathias IF, Dias SBF, Jardini MAN, Junior MS, Sallum EA. Esthetic evaluation of different approaches to treat gingival recession associated with non-carious cervical lesion treatment: a 2-year follow-up. Am J Dent 2014;27:220-4.
  43. Pourabbas R, Kimyain S, Chitsazi T, Nourbaksh F. Clinical comparison of localized gingival recession coverage in root surfaces restored with giomer and intact root surfaces. Afr J Biotechnol 2011;10:5893-9.
  44. Zsuzsanna P, Istvan G, Zsuzsanna E, Attila H. Miller I-II inyrecesszioval kombinalt fognyaki leziok restaurativ es sebeszi ellatasa - Randomizalt, kontrollalt klinikai vizsgalat 6 honapos eredmenyei. Fogorv Sz 2017;110:122-34.
  45. Rasperini G, Acunzo R, Pellegrini G, Pagni G, Tonetti M, Pini Prato GP, et al. Predictor factors for long-term outcomes stability of coronally advanced flap with or without connective tissue graft in the treatment of single maxillary gingival recessions: 9 years results of a randomized controlled clinical trial. J Clin Periodontol 2018;45:1107-17. https://doi.org/10.1111/jcpe.12932
  46. Holbrook T, Ochsenbein C. Complete coverage of the denuded root surface with a one-stage gingival graft. Int J Periodontics Restorative Dent 1983;3:8-27.
  47. Araveti SK, Hiraishi N, Kominami N, Otsuki M, Sumi Y, Yiu CK, et al. Swept-source optical coherence tomographic observation on prevalence and variations of cemento-enamel junction morphology. Lasers Med Sci 2020;35:213-9. https://doi.org/10.1007/s10103-019-02847-9
  48. Chambrone L, Ortega MAS, Sukekava F, Rotundo R, Kalemaj Z, Buti J, et al. Root coverage procedures for treating single and multiple recession-type defects: an updated Cochrane systematic review. J Periodontol 2019;90:1399-422. https://doi.org/10.1002/JPER.19-0079
  49. Agossa K, Godel G, Dubar M, S Y K, Behin P, Delcourt-Debruyne E. Does evidence support a combined restorative surgical approach for the treatment of gingival recessions associated with noncarious cervical lesions? J Evid Based Dent Pract 2017;17:226-38. https://doi.org/10.1016/j.jebdp.2017.04.001