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http://dx.doi.org/10.5051/jpis.2102580129

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)
Publication Information
Journal of Periodontal and Implant Science / v.52, no.2, 2022 , pp. 91-115 More about this Journal
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
Dental restoration; Gingival recession; Permanent; Surgical flap, autograft; Tooth wear;
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