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KMID : 1044820220520020091
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Journal of Periodontal & Implant Science
2022 Volume.52 No. 2 p.91 ~ p.115
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Treatment efficacy of gingival recession defects associated with non-carious cervical lesions: a systematic review
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Oliveira Livia Maria Lopes de
Souza Camila Agra
Cunha Sinara
Siqueira Rafael
Vajgel Bruna de Carvalho Farias
Cimoes Renata
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Abstract
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Purpose: This systematic review aimed to compare the efficacy, defined in terms of the mean percentage of root coverage (mRC), of surgical treatment approaches combined with adhesive restorations of non-carious cervical lesions (NCCLs) to that of root coverage alone in patients with a single gingival recession (GR) and NCCL.
Methods: A literature search was conducted to identify longitudinal studies reporting the mRC following treatment for the correction of GR defects associated with NCCLs using a combination of surgical and restorative techniques in systemically and periodontally healthy patients.
Results: The search resulted in the retrieval of 12,409 records. Seven publications met the inclusion criteria for the qualitative synthesis of data. The mRCs ranged from 69% to 97%. In the medium term, the gingival margin position was more stable when a connective tissue graft (CTG) was used, independently of whether restoration of teeth with NCCLs was performed.
Conclusions: The strength of the evidence was limited by methodological heterogeneity in terms of study design as well as the unit and period of analysis, which precluded a metaanalysis. Although no definitive conclusion could be drawn due to the lack of sufficient evidence to estimate the effectiveness of the interventions, CTG-based procedures contributed to gingival margin stability regardless of the performance of restoration to treat NCCLs.
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KEYWORD
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Dental restoration, Gingival recession, Permanent, Surgical flap, autograft, Tooth wear
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