title: Treatment of noncarious cervical lesions by a subepithelial connective tissue graft versus a composite resin restoration.
abstract: This study compared two treatments for mild noncarious cervical lesions (NCCLs): a subepithelial connective tissue graft (CTG) versus a Class V composite resin restoration (CRR). Twenty-six sites with NCCLs were randomly assigned to be treated by CTG or CRR. Periodontal health parameters and dentinal hypersensitivity (DH) were recorded at baseline and 3 months postoperatively. Esthetics was also evaluated at 3 months. Results showed a significant improvement in all periodontal health parameters in the CTG treatment. The CTG treatment attained a mean 82% defect coverage with 75% of sites achieving complete coverage. Patients rated the CTG treatment to be significantly more esthetic (P = .03), while a clinician panel did not see an esthetic difference (P = .86). There was no difference in DH reduction between the two treatments (P = .81). In conclusion, the CTG treatment is superior to the CRR treatment for NCCLs based on periodontal health parameters. From a patient point of view, the CTG is the more esthetic treatment.
authors.forename: Martin
authors.initials: M
authors.lastname: Leybovich
authors.forename: Nabil F
authors.initials: NF
authors.lastname: Bissada
authors.forename: Sorin
authors.initials: S
authors.lastname: Teich
authors.forename: Catherine A
authors.initials: CA
authors.lastname: Demko
authors.forename: Paul A
authors.initials: PA
authors.lastname: Ricchetti
mesh_terms: D003188:Composite Resins; D003238:Connective Tissue / Q000637:transplantation*; D003793:Dental Restoration, Permanent; D004955:Esthetics, Dental; D006801:Humans; D019237:Tooth Cervix / Q000473:pathology*
chemical_list: D003188:Composite Resins