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KMID : 0363020090390040437
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Journal of Korean Academy of Periodontology
2009 Volume.39 No. 4 p.437 ~ p.441
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CTG and restoration in treatment of gingival recession associated with a cervical lesion: report of three cases
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Kim Eun-Suk
Park Jin-Woo
Suh Jo-Young
Lee Jae-Mok
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Abstract
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Purpose: The purpose of this report is to show three cases treated by an intergrated periodontal and restorative dentistry approach.
Methods: Three patients with Miller Class I gingiva recessions associated with cervical lesions were enrolled for treatment. Two patients received a connective tissue graft and resin modified glass ionomer, and one patient was treated with a connective tissue graft, resin restoration. Keratinized gingiva and relative gingival recession were measured.
Results: The mean reduction of relative gingival recession was 3.7 mm, and the mean keratinized gingiva increase was 2.5 mm. The percentage of root coverage was 80% in average. No signs of gingival inflammation or bleeding on probing were seen. The patients were satisfied with the final esthetics and had no more dentin hypersensitivity.
Conclusions: This report indicates that teeth with Miller Class I gingival recession associated with cervical lesions can be successfully treated by a connective tissue graft combined with restorative dentistry. However, longitudinal randomized controlled clinical trials must be performed to support this approach.
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KEYWORD
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gingival recession, glass ionomer cements, tooth abrasion
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