title: Periodontal and Restorative Treatment of Gingival Recession Associated with Non-Carious Cervical Lesions: Case Study.
abstract: The association between the presence of gingival recession and non-carious cervical lesions is a common finding in dentistry. These diseases have multifactorial etiology and the treatment should be multidisciplinary. Although traditionally the majority of professionals treat non-carious cervical lesions only with conventional restorative procedures, in most cases a combination of periodontal and restorative treatments provides the best functional and esthetic results. Thus, the objective of this case report was to present a new option for treatment, which consists of a subepithelial connective tissue graft associated with a coronally advanced flap placed on dentin and non-carious cervical lesions restored with lithium disilicate partial veneers. A patient complaining about the esthetic aspects of her teeth and cervical dentin hypersensitivity was submitted to occlusal adjustments and daily diet analysis in order to manage etiologic factors. Experienced operators then performed restorative and surgical treatments. Periodontal clinical attachment level (probing depth + gingival margin), bleeding on probing, plaque index, and the integrity of the restorations were observed. During the monitoring period, the treatment was effective, with good functional and esthetic results. The hypersensitivity disappeared, and neither inflammatory characteristics in gingival tissue nor failures in restorations were noted. It might be concluded that treatment with a combination of techniques can be effective and predictable for patients with gingival recession and non-carious cervical lesions that may or may not require restorative procedures under controlled conditions.
authors.affiliation: Periodontology and Implantology, Dental Hospital, NCCL Research Group, Federal University of Uberlandia, Brazil.
authors.forename: Analice Giovani
authors.initials: AG
authors.lastname: Pereira
authors.affiliation: Periodontology and Implantology, Dental Hospital, NCCL Research Group, Federal University of Uberlandia, Brazil.
authors.forename: Daniela Navarro Ribeiro
authors.initials: DN
authors.lastname: Teixeira
authors.affiliation: Periodontology and Implantology, Dental Hospital, NCCL Research Group, Federal University of Uberlandia, Brazil.
authors.forename: Michelle Pereira Costa Mundim
authors.initials: MP
authors.lastname: Soares
authors.affiliation: General Dentistry, Dental Hospital, NCCL Research Group, Federal University of Uberlandia, Brazil.
authors.forename: Ramon Corrêa de Queiroz
authors.initials: RC
authors.lastname: Gonzaga
authors.affiliation: Occlusion and Prosthodontics Department, School of Dentistry, NCCL Research Group, Federal University of Uberlandia, Brazil.
authors.forename: Alfredo Júlio
authors.initials: AJ
authors.lastname: Fernandes-Neto
authors.affiliation: Operative Dentistry and Dental Materials Department, School of Dentistry, NCCL Research Group, Federal University of Uberlandia, Brazil. paulovsoares@yahoo.com.br.
authors.forename: Paulo Vinícius
authors.initials: PV
authors.lastname: Soares
mesh_terms: D003238:Connective Tissue; D003807:Dentin Sensitivity; D005260:Female; D005881:Gingiva; D005889:Gingival Recession / Q000601:surgery*; D005893:Gingivoplasty; D006801:Humans; D013524:Surgical Flaps
keywords: connective tissue graft; gingival recession; lithium disilicate; non-carious cervical lesions; root coverage