Treatment efficacy of gingival recession defects associated with non-carious cervical lesions: a systematic review
Oliveira Livia Maria Lopes de, Souza Camila Agra, Cunha Sinara, Siqueira Rafael, Vajgel Bruna de Carvalho Farias, Cimoes Renata,
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( Oliveira Livia Maria Lopes de ) - UFPE-Universidade Federal de Pernambuco Department of Prosthetics and Orofacial Surgery
( Souza Camila Agra ) - UFPE-Universidade Federal de Pernambuco Department of Prosthetics and Orofacial Surgery
( Cunha Sinara ) - UFPE-Universidade Federal de Pernambuco Department of Prosthetics and Orofacial Surgery
( Siqueira Rafael ) - University of Michigan Department of Periodontics and Oral Medicine
( Vajgel Bruna de Carvalho Farias ) - UFPE-Universidade Federal de Pernambuco Department of Prosthetics and Orofacial Surgery
( Cimoes Renata ) - UFPE-Universidade Federal de Pernambuco Department of Prosthetics and Orofacial Surgery
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.
키워드
Dental restoration; Gingival recession; Permanent; Surgical flap; autograft; Tooth wear
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