Pulido CL, Chávez GPA, Hernández GG, Ramírez TMÁ, Ayala SAJ

Language: Spanish
References: 35
Page: 12-21
PDF size: 321.16 Kb.

ABSTRACT

Introduction: the presence of a cervical non-carious lesion (CNCL) is a complicating factor for root coverage after gingival recession. It is usually associated with the disappearance of the cemento-enamel junction (CEU), a key landmark, as it causes a surface discrepancy that requires restoration and compensation by a root coverage procedure with connective tissue graft (CTG). Objective: to study the effectiveness of restorative materials in combination with periodontal plastic surgery in recession defects associated with a LCNC. Material and methods: randomized clinical trials (RCT) evaluating root coverage of teeth with Miller class I and II/Cairo RT1 gingival recessions with LCNC and Pini-Prato class A+ B+, using a restorative material, coronal advancement flap (CAF) and CTG, published from 2018 to 2024 and a follow-up greater than six months. Results: five articles were analyzed. The included studies showed that periodontal plastic procedures with CTG are effective in terms of keratinized gingival augmentation and gingival thickness gain. However, correcting LCNC defects with a restorative material results in better gingival contouring and reduction of dentin hypersensitivity. Conclusions: LCNC are a complicating factor in periodontal plastic surgery. The combination of CTG plus restorative materials such as glass ionomer modified resin (GIMR) and composite resin offers significant advantages in the treatment of LCNC.

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