Skip to main content

Advertisement

SpringerLink
Log in

Root coverage of gingival recessions with non-carious cervical lesions: a controlled clinical trial

  • Original Article
  • Published:
Clinical Oral Investigations Aims and scope Submit manuscript

Abstract

Objective

The non-carious cervical lesion (NCCL) is commonly produced by improper toothbrushing techniques, occlusion trauma, anatomic mal-positioned teeth, and acid erosion, thus sharing the same etiology of gingival recession (GR). The association of a graft to the coronally advanced flap had demonstrated the best long-term outcome for root coverage (RC). However, substitutes for the autogenous graft must be studied. This split-mouth clinical trial investigates the RC and the increase in keratinized tissue (KT) when comparing RC of NCCLs associated with GR with intact roots using an extended coronally advanced flap (ECAF) associated with the acellular dermal matrix graft (ADMG), a connective tissue replacement graft.

Material and methods

Seventeen individuals with bilateral GR were included in the study. One side had a NCCL (TG) and the opposite root was intact (CG). All patients were treated with the ECDF associated with ADMG. All clinical parameters were assessed at baseline and 6 months postoperative.

Results

Root coverage means (CG, 69.5 ± 19 and TG. 72.2 ± 16.5; p value = 0.849570) were not significantly different between control and test groups. In addition, the KT had an increase in the follow-up period for both groups.

Conclusion

GR associated with NCCLs can be successfully treated with the ECDF and ADMG.

Clinical relevance

Patients frequently search for GR treatment due to cervical wear, root sensitivity, and compromising aesthetics. The NCCL participates with the same issues. The present study contributes to the literature that GR associated with NCCLs can be successfully treated with the ECAF and the ADMG.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Chambrone L, Tatakis DN (2016) Long-term outcomes of untreated buccal gingival recessions: a systematic review and meta-analysis. J Periodontol 87:796–808

    Article  Google Scholar 

  2. Consensus report (1996) Mucogingival therapy. Ann Periodontol 1:702–706

    Article  Google Scholar 

  3. Wennström JL (1996) Mucogingival therapy. Annals of Periodontology 1:671–701

    Article  Google Scholar 

  4. Pini-Prato G, Franceschi D, Cairo F, Nieri M, Rotundo R (2010) Classification of dental surface defects in areas of gingival recession. J Periodontol 81:885–890

    Article  Google Scholar 

  5. Zucchelli G, Testori T, De Sanctis M (2006) Clinical and anatomical factors limiting treatment outcomes of gingival recession: a new method to predetermine the line of root coverage. J Periodontol 77:714–721

    Article  Google Scholar 

  6. Aw TC, Lepe X, Johnson GH, Mancl L (2002) Characteristics of noncarious cervical lesions: a clinical investigation. J Am Dent Assoc 133:725–733

    Article  Google Scholar 

  7. Zucchelli G, Guido G, Monica M et al (2011) Non-carious cervical lesions associated with gingival recessions: a decision-making process. J Periodontol 82:1713–1724

    Article  Google Scholar 

  8. Sadaf D, Ahmad Z (2014) Role of brushing and occlusal forces in non-carious cervical lesions (NCCL). Int J Biomed Sci 10:265–268

    PubMed  PubMed Central  Google Scholar 

  9. Terry DA, McGuire MK, McLaren E, Fulton R, Swift EJ Jr (2003) Perioesthetic approach to the diagnosis and treatment of carious and noncarious cervical lesions: Part II. J Esthet Restor Dent 15:284–296

    Article  Google Scholar 

  10. Schätzle M, Land NP, Anerud A, Boysen H, Bürgin W, Löe H (2001) The influence of margins of restorations of the periodontal tissues over 26 years. J Clin Periodontol 28:57–64

    Article  Google Scholar 

  11. Kohal RJ, Pelz K, Strub JR (2004) Effect of different crown contours on periodontal health in dogs. Microbiological results. J Dent 32:153–159

    Article  Google Scholar 

  12. Paolantonio M, Di Murro C, Cattabriga M (1990) Modifications in the clinical and microbiological parameters of the periodontal tissues after the removal of overhanging class-II amalgam fillings. Minerva Stomatol 39:697–701 (Italian)

    PubMed  Google Scholar 

  13. Cairo F, Pagliaro U, Nieri M (2008) Treatment of gingival recession with coronally advanced flap procedures: a systematic review. J Clin Periodontol 35:136–162

    Article  Google Scholar 

  14. Cairo F, Nieri M, Cincinelli S, Mervelt J, Pagliaro U (2011) The interproximal clinical attachment level to classify gingival recessions and predict root coverage outcomes: an explorative and reliability study. J Clin Periodontol 38:661–666

    Article  Google Scholar 

  15. Mele M, Zucchelli G, Montevecchi M, Checchi L (2008) Bilaminar technique in the treatment of a deep cervical abrasion defect. Int J Periodontics Restorative Dent 28:63–71

    PubMed  Google Scholar 

  16. Santamaria MP, Ambrosano GM, Casati MZ, Nociti Júnior FH, Sallum AW, Sallum EA (2009) Connective tissue graft plus resin-modified glass ionomer restoration for the treatment of gingival recession associated with non-carious cervical lesion: a randomized-controlled clinical trial. J Clin Periodontol 36:791–798

    Article  Google Scholar 

  17. Barros RR, Novaes AB, Grisi MF, Souza SL, Taba MJ, Palioto DB (2004) A 6-month comparative clinical study of a conventional and a new surgical approach for root coverage with acellular dermal matrix. J Periodontol 75:1350–1356

    Article  Google Scholar 

  18. Novaes AB Jr, de Barros RR (2008) Acellular dermal matrix allograft. The results of controlled randomized clinical studies. J Int Acad Periodontol 10:123–129

    PubMed  Google Scholar 

  19. Aichelmann-Reidy ME, Yukna RA, Evans GH, Nasr HF, Mayer ET (2001) Clinical evaluation of acellular allograft dermis for the treatment of human gingival recession. J Periodontol 72:998–1005

    Article  Google Scholar 

  20. Novaes AB Jr, Grisi DC, Molina GO, Souza SL, Taba M Jr, Grisi MF (2001) Comparative 6-month clinical study of a subepithelial connective tissue graft and acellular dermal matrix graft for the treatment of gingival recession. J Periodontol 72:1477–1484

    Article  Google Scholar 

  21. Ayub LG, Ramos UD, Reino DM, Grisi MF, Taba M Jr, Souza SL, Palioto DB, Novaes AB Jr (2014) A modified surgical technique for root coverage with an allograft: a 12-month randomized clinical trial. J Periodontol 85:1529–1536

    Article  Google Scholar 

  22. Dilsiz A, Canakci V, Aydin T (2013) Clinical effects of potassium-titanyl-phosphate laser and photodynamic therapy on outcomes of treatment of chronic periodontitis: a randomized controlled clinical trial. J Periodontol 84:278–286

    Article  Google Scholar 

  23. Moreira AL, Novaes AB Jr, Grisi MF, Taba M Jr, Souza SL, Palioto DB, de Oliveira PG, Casati MZ, Casarin RC, Messora MR (2015) Antimicrobial photodynamic therapy as an adjunct to non-surgical treatment of aggressive periodontitis: a split-mouth randomized controlled trial. J Periodontol 86:376–386

    Article  Google Scholar 

  24. O’Leary TJ, Drake RB, Naylor JE (1972) The plaque control record. J Periodontol 43:38

    Article  Google Scholar 

  25. Zucchelli G, Mele M, Stefanini M, Mazzotti C, Mounssif I, Marzadori M, Montebugnoli L (2010) Predetermination of root coverage. J Periodontol 81(7):1019–1026

    Article  Google Scholar 

  26. Ayub LG, Ramos UD, Reino DM, Grisi MF, Taba M Jr, Souza SL, Palioto DB, Novaes AB Jr (2012) A randomized comparative clinical study of two surgical procedures to improve root coverage with the acellular dermal matrix graft. J Clin Periodontol 39:871–878

    Article  Google Scholar 

  27. Taba M (2018) Postsurgical Care Following Recession Coverage Procedures. In: Kasaj A (ed) Gingival Recession Management. Springer, Cham., pp 147–157

    Chapter  Google Scholar 

  28. Schuster R, Singh J, Safadi BY, Wren SM (2006) The use of acellular dermal matrix for contaminated abdominal wall defects: Wound status predicts success. Am J Surg 192:594–597

    Article  Google Scholar 

  29. Pereira AG, Teixeira DN, Soares MP, Gonzaga RC, Fernandes-Neto AJ, Soares PV (2016 Jan 14) Periodontal and restorative treatment of gingival recession associated with non-carious cervical lesions: case study. J Int Acad Periodontol 18(1):16–22

    PubMed  Google Scholar 

  30. Felipe ME et al (2007) Comparison of two surgical procedures for use of the acellular dermal matrix graft in the treatment of gingival recessions: a randomized controlled clinical study. J Periodontol 78:1209–1217

    Article  Google Scholar 

  31. Gapski R, Parks CA, Wang H-L (2005) Acellular dermal matrix for mucogingival surgery: a meta-analysis. J Periodontol 76:1814–1822

    Article  Google Scholar 

  32. Moslemi N, Mousavi Jazi M, Haghighati F, Morovati SP, Jamali R (2011) Acellular dermal matrix allograft versus subepithelial connective tissue graft in treatment of gingival recessions: a 5-year randomized clinical study. J Clin Periodontol 38:1122–1129

    Article  Google Scholar 

  33. Harris RJ (2000) A comparative study of root coverage obtained with an acellular dermal matrix versus a connective tissue graft: results of 107 recession defects in 50 consecutively treated patients. Int J Periodontics Restorative Dent 20:51–59

    PubMed  Google Scholar 

  34. de Queiroz CA, Sallum AW, Casati MZ, Nociti FH Jr, Sallum EA (2006) A two-year prospective study of coronally positioned flap with or without acellular dermal matrix graft. J Clin Periodontol 33:683–689

    Article  Google Scholar 

  35. Pini-Prato G, Magnani C, Zaheer F, Buti J, Rotundo R (2015 Sep-Oct) Critical evaluation of complete root coverage as a successful endpoint of treatment for gingival recessions. Int J Periodontics Restorative Dent 35(5):655–663

    Article  Google Scholar 

  36. Chambrone L, Pannuti CM, Tu Y, Chambrone LA (2012) Evidence-based periodontal plastic surgery. II. An individual data meta-analysis for evaluating factors in achieving complete root coverage. J Periodontol 83:477–490

    Article  Google Scholar 

Download references

Funding

This study was financially supported by the Coordination for the Improvement of Higher Education Personnel – CAPES, Brazil. The Acellular Dermal Matrix was donated by BioHorizons, Birmingham, AL, USA.

Author information

Authors and Affiliations

  1. Department of Oral & Maxillofacial Surgery and Periodontology, Ribeirão Preto Dental School, University of São Paulo – USP, Avenida do Café, s/n – FORP-USP, Ribeirão Preto, 14040-904, São Paulo, Brazil

    Marilia Bianchini Lemos Reis, Carolina de Moraes Rego Mandetta, Carolina Delmondes Freitas Dantas, Guido Marañón-Vásquez, Mario Taba Jr, Sergio Luis Scombatti de Souza, Michel Reis Messora, Daniela Bazan Palioto Bulle & Arthur Belém Novaes Jr

Authors
  1. Marilia Bianchini Lemos Reis
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Carolina de Moraes Rego Mandetta
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Carolina Delmondes Freitas Dantas
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Guido Marañón-Vásquez
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Mario Taba Jr
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Sergio Luis Scombatti de Souza
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Michel Reis Messora
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Daniela Bazan Palioto Bulle
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Arthur Belém Novaes Jr
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Arthur Belém Novaes Jr.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethics approval

All procedures performed in studies involving human participants were in accordance with the 1964 Helsinki Declaration and its later amendments and with the ethical standards of the Research Ethics Committee of the School of Dentistry of Ribeirao Preto, University of Sao Paulo (CAAE: 0002.0.138.000.-11; Process: 20111.176.58.1) and subscribed at ClinicalTrials.gov (NCT03615092).

Informed consent

Informed consent was obtained from all individual participants included in the study.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Reis, M.B.L., Mandetta, C.d., Dantas, C.D.F. et al. Root coverage of gingival recessions with non-carious cervical lesions: a controlled clinical trial. Clin Oral Invest 24, 4583–4589 (2020). https://doi.org/10.1007/s00784-020-03325-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00784-020-03325-1

Keywords

Search

Navigation