title: Resin composite plus connective tissue graft to treat single maxillary gingival recession associated with non-carious cervical lesion: randomized clinical trial.
abstract: To evaluate clinically, the aesthetics and the patient-centred parameters after the treatment of gingival recession associated with non-carious cervical lesion by connective tissue graft alone or combined with a nanofilled resin composite restoration.
  
  
  
  Thirty-six patients presenting one Miller Class I or II gingival recessions and B+ tooth cervical defect were included. The defects were treated by either connective tissue graft (CTG: control group; n = 18) or connective tissue graft plus resin composite restoration (CTG+RC: test group; n = 18).
  
  
  
  The mean percentage of defect coverage was 82.16 ± 16.1% for CTG and 73.84 ± 19.2% for CTG+RC after 1 year (p > 0.05). Both groups presented statistically significant improvements in two aesthetics evaluations. The professional evaluation (MRES) was 7.44 ± 2.3 for the CTG group and 7.52 ± 2.27 for CTG+RC after 1 year, with no significant difference between the groups. The two groups presented significant reduction of dentin sensitivity (DS), it decreased from 94.4% of the sites to 44.4% in the CTG group and from 88.8% to 5.5% in the CTG+RC group.
  
  
  
  CTG or CTG+RC can successfully treat gingival recession associated with B+ non-carious cervical lesion, but less sensitivity may be expected with the combined approach (NCT02423473).
authors: Department of Periodontology, College of Dentistry - FOSJC, UNESP - State University of São Paulo, São José dos Campos, SP, Brazil.
authors: Mauro Pedrine
authors: 0000-0001-9468-0729
authors: MP
authors: Santamaria
authors: Department of Prosthodontics and Periodontics, Division of Periodontics, Piracicaba Dental School, UNICAMP - University of Campinas, Piracicaba, SP, Brazil.
authors: Lucas Araújo
authors: LA
authors: Queiroz
authors: Department of Restorative Dentistry, College of Dentistry - FOSJC, UNESP - State University of São Paulo, São José dos Campos, SP, Brazil.
authors: Ingrid Fernandes
authors: IF
authors: Mathias
authors: Department of Periodontology, College of Dentistry - FOSJC, UNESP - State University of São Paulo, São José dos Campos, SP, Brazil.
authors: Felipe Lucas da Silva
authors: FL
authors: Neves
authors: Department of Periodontology, College of Dentistry - FOSJC, UNESP - State University of São Paulo, São José dos Campos, SP, Brazil.
authors: Camila Augusto
authors: CA
authors: Silveira
authors: Department of Restorative Dentistry, College of Dentistry - FOSJC, UNESP - State University of São Paulo, São José dos Campos, SP, Brazil.
authors: Eduardo
authors: E
authors: Bresciani
authors: Department of Periodontology, College of Dentistry - FOSJC, UNESP - State University of São Paulo, São José dos Campos, SP, Brazil.
authors: Maria Aparecida Neves
authors: MA
authors: Jardini
authors: Department of Prosthodontics and Periodontics, Division of Periodontics, Piracicaba Dental School, UNICAMP - University of Campinas, Piracicaba, SP, Brazil.
authors: Enilson Antônio
authors: EA
authors: Sallum
mesh_terms: D003238:Connective Tissue; D003807:Dentin Sensitivity; D005500:Follow-Up Studies; D005881:Gingiva; D005889:Gingival Recession; D006801:Humans; D008437:Maxilla; D016896:Treatment Outcome
keywords: gingival recession; tooth abrasion; tooth cervix