title: Periodontal surgery and glass ionomer restoration in the treatment of gingival recession associated with a non-carious cervical lesion: report of three cases.
abstract: 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.
authors.affiliation: Department of Prosthodontics and Periodontics, Division of Periodontics, School of Dentistry at Piracicaba, State University of Campinas, Campinas, SP, Brazil.
authors.forename: Mauro Pedrine
authors.initials: MP
authors.lastname: Santamaria
authors.forename: Fabrícia Ferreira
authors.initials: FF
authors.lastname: Suaid
authors.forename: Francisco Humberto
authors.initials: FH
authors.lastname: Nociti
authors.forename: Márcio Zaffalon
authors.initials: MZ
authors.lastname: Casati
authors.forename: Antônio Wilson
authors.initials: AW
authors.lastname: Sallum
authors.forename: Enilson Antônio
authors.initials: EA
authors.lastname: Sallum
mesh_terms: 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
chemical_list: D000180:Acrylic Resins; D003764:Dental Materials; C015897:glass ionomer; D012822:Silicon Dioxide