Periodontal surgery and glass ionomer restoration in the treatment of gingival recession associated with a non-carious cervical lesion: report of three cases.
BACKGROUND
Buccal gingival recession is a prevalent problem in populations with a high standard of oral hygiene and is very often associated with a non-carious cervical lesion, complicating treatment. The purpose of this report is to show three cases treated by an integrated periodontal and restorative dentistry approach.


METHODS
Three patients with Miller Class I gingival recessions associated with non-carious cervical lesions were enrolled for treatment. One patient received a coronally positioned flap and a resin-modified glass ionomer restoration, and two patients were treated with a coronally positioned flap, resin-modified glass ionomer restoration, and connective tissue graft. Probing depth (PD), relative gingival recession (RGR), and clinical attachment level (CAL) were measured at baseline and at 6 and 8 months after surgery.


RESULTS
After the healing period, all patients showed CAL gain and reduction in RGR. No difference was observed on PDs compared to baseline. 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 Class I gingival recessions associated with non-carious cervical lesions can be successfully treated by an integrated periodontal and restorative dentistry approach; however, longitudinal randomized controlled clinical trials must be performed to support this approach.
Santamaria
Mauro Pedrine
MP
Department of Prosthodontics and Periodontics, Division of Periodontics, School of Dentistry at Piracicaba, State University of Campinas, Campinas, SP, Brazil.
Suaid
Fabrícia Ferreira
FF
Nociti
Francisco Humberto
FH
Casati
Márcio Zaffalon
MZ
Sallum
Antônio Wilson
AW
Sallum
Enilson Antônio
EA
D000180:Acrylic Resins / Q000627:therapeutic use*; D000328:Adult; D003764:Dental Materials / Q000627:therapeutic use*; D003793:Dental Restoration, Permanent / Q000379:methods*; D003807:Dentin Sensitivity / Q000628:therapy; D005260:Female; D005889:Gingival Recession / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017622:Periodontal Attachment Loss / Q000601:surgery; D012822:Silicon Dioxide / Q000627:therapeutic use*; D013524:Surgical Flaps; D014072:Tooth Abrasion / Q000209:etiology / Q000601:surgery; D019237:Tooth Cervix / Q000473:pathology
D000180:Acrylic Resins; D003764:Dental Materials; C015897:glass ionomer; D012822:Silicon Dioxide