IADR Abstract Archives

Cervical composite resin restoration may not prevent root coverage

Objective: Gingival recession associated with non-carious cervical lesion has been treated by a multidisciplinary approach, involving different periodontal plastic surgeries plus a resin-modified glass ionomer. However, this restorative material presents esthetic problems over time. Thus, the aim of this study was to evaluate the success of the treatment of this combined defect by a connective tissue graft alone (CTG – control group), or in combination with a composite resin restoration (CTG+CR – test group), which has never been tested before.

Method: Forty patients presenting Miller Class I buccal gingival recessions, associated with non-carious cervical lesions were selected. The defects were randomly assigned to receive either CTG or CTG+CR. Bleeding on probing (BOP), probing depth (PD), relative gingival recession (RGR), clinical attachment level (CAL), and cervical lesion height (CLH) coverage were measured at the baseline and 45 days, 2, 3, and 6 months after the treatment.

Result: Both groups showed statistically significant gains in clinical attachment level and soft tissue coverage. The differences between groups were not statistically significant in BOP, RGR and CAL, after 6 months. The percentages of CLH covered were 77.31±9.58% for CTG and 75.12±10.66% for CTG+R (P>0.05). The estimated root coverage was 86.50± 13.96% for CTG and 81.79±14.2% for CTG+RC (P>0.05). The PD showed a statistically significant difference after 6 months, 1.8±0.9mm for CTG and 3.3±1.12mm for CTG+CR (P<0.05)

Conclusion: Within the limits of the present study, it can be concluded that both procedures provide similar soft tissue coverage after 6 months and the presence of composite resin may not prevent the root coverage achieved by connective tissue graft. However, the CTG+CR may lead to a higher probing depth after the healing period.

Division: IADR/AADR/CADR General Session
Meeting: 2013 IADR/AADR/CADR General Session (Seattle, Washington)
Location: Seattle, Washington
Year: 2013
Final Presentation ID: 921
Abstract Category|Abstract Category(s): Periodontal Research - Therapy
Authors
  • Santamaria, Mauro  ( FOSJC-UNESP, São José dos Campos, SP, Brazil )
  • Queiroz, Lucas Araujo  ( FOP - UNICAMP, Piracicaba-SP-Brasil, N/A, Brazil )
  • Casati, Marcio Zaffalon  ( Universidade Paulista, São Paulo, N/A, Brazil )
  • Nociti, Francisco  ( National Institutes of Health, Bethesda, MD, USA )
  • Sallum, Antonio Wilson  ( FOP - UNICAMP, Piracicaba, SP, Brazil )
  • Sallum, Enilson Antonio  ( Piracicaba Denta School, UNICAMP, Piracicaba, SP, Brazil, Piracicaba, N/A, Brazil )
  • SESSION INFORMATION
    Poster Session
    Periodontal Surgery and Mucogingival Therapy
    03/21/2013