title: Esthetic evaluation of different approaches to treat gingival recession associated with non-carious cervical lesion treatment: a 2-year follow-up.
abstract: OBJECTIVE
  To evaluate the esthetic outcome of four different approaches to treat gingival recession, associated with non-carious cervical lesion (combined defects) and the possible roles of patient-related factors in this esthetic outcome.
  
  
  METHODS
  78 combined defects were previously treated by: coronally advanced flap (CAF), CAF plus cervical restoration using resin-modified glass-ionomer material (CAF+R), connective tissue graft (CTG) and CTG+R. After a follow-up of 2 years, esthetic evaluations were performed using a modification of the Root Coverage Esthetic Score (MRES) and Qualitative Cosmetic Evaluation (QCE). Additionally, regression analyses were performed to evaluate the influence of patient-related factors in the final esthetic outcome.
  
  
  RESULTS
  The MRES showed that CAF and CTG had statistically significantly better results, when compared to the other groups (P < 0.05). Similarly, the QCE showed that CAF and CTG, along with CAF+R presented better results, and CTG+R showed the poorest esthetic outcome. Regression analyses showed that the overall gingival inflammation (full mouth bleeding index--FMBI) was negatively associated with CTG MRES score (P = 0.04 and R = -0.48). This means that the greater the FMBI during the study period, the lower the final esthetic score.
authors.forename: Mauro Pedrine
authors.initials: MP
authors.lastname: Santamaria
authors.forename: Ingrid Fernandes
authors.initials: IF
authors.lastname: Mathias
authors.forename: Stephanie Botti Fernandes
authors.initials: SB
authors.lastname: Dias
authors.forename: Maria Aparecida Neves
authors.initials: MA
authors.lastname: Jardini
authors.forename: Milton Santamaria
authors.initials: MS
authors.lastname: Junior
authors.forename: Enilson Antonio
authors.initials: EA
authors.lastname: Sallum
mesh_terms: D005500:Follow-Up Studies; D005889:Gingival Recession / Q000601:surgery*; D005899:Glass Ionomer Cements; D006801:Humans; D019237:Tooth Cervix / Q000473:pathology*
chemical_list: D005899:Glass Ionomer Cements