Resin composite plus connective tissue graft to treat single maxillary gingival recession associated with non-carious cervical lesion: randomized clinical trial

Author(s)

Santamaria, Mauro Pedrine ; Queiroz, Lucas Araujo ; Mathias, Ingrid Fernandes ; da Silva Neves, Felipe Lucas ; Silveira, Camila Augusto ; Bresciani, Eduardo ; Neves Jardini, Maria Aparecida ; Sallum, Enilson Antonio

• Document type: Journal article
• Source: JOURNAL OF CLINICAL PERIODONTOLOGY; v. 43, n. 5, p. 8-pg., 2016-05-01.

Abstract

Aim: 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. Methods: 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). Results: The mean percentage of defect coverage was 82.1616.1% for CTG and 73.84 +/- 19.2% for CTG+RC after 1year (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 1year, 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. Conclusions: 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). (AU)

• FAPESP's process: 09/17194-7 - The influence of the composite resin restoration on the root coverage: a randomized controled clinical trial
• Grantee: Mauro Pedrine Santamaria
• Support Opportunities: Scholarships in Brazil - Post-Doctoral