title: An interdisciplinary approach for the management of noncarious lesions.
abstract: Miller's class III gingival recession is a common entity observed in individuals, posing a difficult situation for the clinicians to treat. Large fenestration defects with cervical abrasion compromise the esthetics resulting in poor prognosis. Obtaining predictable and esthetic root coverage has become an integral part of periodontal therapy. The present case report describes a situation where class III gingival recession with cervical abrasion was seen in the lower central incisors. The patient was successfully treated with a combination of restorations (Filtek Z350(®) composite resin) to fill the defect, followed by fenestration procedure to increase the vestibular depth and subsequently with grafting procedure (soft tissue autograft with bovine-derived xenograft collagen [Bio-oss]). Though the results were not tangible esthetically, it was functionally successful as evidenced during the follow-up period.
authors.affiliation: Department of Periodontics, A. J. Institute of Dental Sciences, Mangalore, Karnataka, India.
authors.forename: Sahana
authors.initials: S
authors.lastname: Purushotham
authors.affiliation: Department of Periodontics, A. J. Institute of Dental Sciences, Mangalore, Karnataka, India.
authors.forename: Nandini
authors.initials: N
authors.lastname: Manjunath
authors.affiliation: Department of Periodontics, A. J. Institute of Dental Sciences, Mangalore, Karnataka, India.
authors.forename: Melba Lisa
authors.initials: ML
authors.lastname: D'Souza
authors.affiliation: Department of Public Health Dentistry, A. J. Institute of Dental Sciences, Mangalore, Karnataka, India.
authors.forename: Roshan
authors.initials: R
authors.lastname: Shetty
keywords: Autograft; bone graft; fenestration; gingival recession; restorations