Cargando…

Clinical evaluation of combined surgical/ restorative treatment of gingival recession-type defects using different restorative materials: A randomized clinical trial

BACKGROUND/PURPOSE: An ideal therapeutic procedure for the treatment of gingival recession associated with an NCCL has presented a challenge to clinicians. Various dental materials and surgical approaches have been used to manage gingival recessions associated with NCCLs for the most predictable com...

Descripción completa

Detalles Bibliográficos
Autores principales: Isler, Sila Cagri, Ozcan, Gonen, Ozcan, Mustafa, Omurlu, Huma
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Association for Dental Sciences of the Republic of China 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6388842/
https://www.ncbi.nlm.nih.gov/pubmed/30895090
http://dx.doi.org/10.1016/j.jds.2017.09.004
_version_ 1783397831432732672
author Isler, Sila Cagri
Ozcan, Gonen
Ozcan, Mustafa
Omurlu, Huma
author_facet Isler, Sila Cagri
Ozcan, Gonen
Ozcan, Mustafa
Omurlu, Huma
author_sort Isler, Sila Cagri
collection PubMed
description BACKGROUND/PURPOSE: An ideal therapeutic procedure for the treatment of gingival recession associated with an NCCL has presented a challenge to clinicians. Various dental materials and surgical approaches have been used to manage gingival recessions associated with NCCLs for the most predictable combined surgical/restorative treatment. The objective of this study was to evaluate the treatment of gingival recessions associated with non-carious cervical lesions (NCCL) using a modified coronally advanced flap (MCAF) in combination with a connective tissue graft (CTG) on restored root surfaces. MATERIALS AND METHODS: Twenty-three systemically healthy subjects, who were positive for the presence of three cervical lesions associated with gingival recessions in three different adjacent teeth, were enrolled in the study. The NCCL were each restored prior to surgery by using one of three different materials: nanofilled composite resin (NCR), resin-modified glass ionomer cement (RMGI) or giomer. The gingival recession defects were treated by CTG. RESULTS: Inter-group differences were not statistically significant for probing depth (PD), relative recession height (rRH), relative clinical attachment level (rCAL), keratinized tissue width (KTW) or keratinized tissue thickness (KTT) (p > 0.05) among the groups at any time. The mean percentage of defect coverage was 71.18 ± 23.16% for NCR + CTG group; 71.33 ± 22.33% for RMGI + CTG group; and 64.23 ± 20.33% for giomer + CTG group at 1 year postoperatively (p > 0.05). CONCLUSION: The combined surgical/restorative treatments provided successful clinical results. Giomer + CTG may be less effective compared to other groups for treatment of gingival recession associated with NCCL.
format Online
Article
Text
id pubmed-6388842
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Association for Dental Sciences of the Republic of China
record_format MEDLINE/PubMed
spelling pubmed-63888422019-03-20 Clinical evaluation of combined surgical/ restorative treatment of gingival recession-type defects using different restorative materials: A randomized clinical trial Isler, Sila Cagri Ozcan, Gonen Ozcan, Mustafa Omurlu, Huma J Dent Sci Original Article BACKGROUND/PURPOSE: An ideal therapeutic procedure for the treatment of gingival recession associated with an NCCL has presented a challenge to clinicians. Various dental materials and surgical approaches have been used to manage gingival recessions associated with NCCLs for the most predictable combined surgical/restorative treatment. The objective of this study was to evaluate the treatment of gingival recessions associated with non-carious cervical lesions (NCCL) using a modified coronally advanced flap (MCAF) in combination with a connective tissue graft (CTG) on restored root surfaces. MATERIALS AND METHODS: Twenty-three systemically healthy subjects, who were positive for the presence of three cervical lesions associated with gingival recessions in three different adjacent teeth, were enrolled in the study. The NCCL were each restored prior to surgery by using one of three different materials: nanofilled composite resin (NCR), resin-modified glass ionomer cement (RMGI) or giomer. The gingival recession defects were treated by CTG. RESULTS: Inter-group differences were not statistically significant for probing depth (PD), relative recession height (rRH), relative clinical attachment level (rCAL), keratinized tissue width (KTW) or keratinized tissue thickness (KTT) (p > 0.05) among the groups at any time. The mean percentage of defect coverage was 71.18 ± 23.16% for NCR + CTG group; 71.33 ± 22.33% for RMGI + CTG group; and 64.23 ± 20.33% for giomer + CTG group at 1 year postoperatively (p > 0.05). CONCLUSION: The combined surgical/restorative treatments provided successful clinical results. Giomer + CTG may be less effective compared to other groups for treatment of gingival recession associated with NCCL. Association for Dental Sciences of the Republic of China 2018-03 2017-12-02 /pmc/articles/PMC6388842/ /pubmed/30895090 http://dx.doi.org/10.1016/j.jds.2017.09.004 Text en © 2018 Taiwan Association of Obstetrics & Gynecology. Publishing services by Elsevier B.V. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Isler, Sila Cagri
Ozcan, Gonen
Ozcan, Mustafa
Omurlu, Huma
Clinical evaluation of combined surgical/ restorative treatment of gingival recession-type defects using different restorative materials: A randomized clinical trial
title Clinical evaluation of combined surgical/ restorative treatment of gingival recession-type defects using different restorative materials: A randomized clinical trial
title_full Clinical evaluation of combined surgical/ restorative treatment of gingival recession-type defects using different restorative materials: A randomized clinical trial
title_fullStr Clinical evaluation of combined surgical/ restorative treatment of gingival recession-type defects using different restorative materials: A randomized clinical trial
title_full_unstemmed Clinical evaluation of combined surgical/ restorative treatment of gingival recession-type defects using different restorative materials: A randomized clinical trial
title_short Clinical evaluation of combined surgical/ restorative treatment of gingival recession-type defects using different restorative materials: A randomized clinical trial
title_sort clinical evaluation of combined surgical/ restorative treatment of gingival recession-type defects using different restorative materials: a randomized clinical trial
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6388842/
https://www.ncbi.nlm.nih.gov/pubmed/30895090
http://dx.doi.org/10.1016/j.jds.2017.09.004
work_keys_str_mv AT islersilacagri clinicalevaluationofcombinedsurgicalrestorativetreatmentofgingivalrecessiontypedefectsusingdifferentrestorativematerialsarandomizedclinicaltrial
AT ozcangonen clinicalevaluationofcombinedsurgicalrestorativetreatmentofgingivalrecessiontypedefectsusingdifferentrestorativematerialsarandomizedclinicaltrial
AT ozcanmustafa clinicalevaluationofcombinedsurgicalrestorativetreatmentofgingivalrecessiontypedefectsusingdifferentrestorativematerialsarandomizedclinicaltrial
AT omurluhuma clinicalevaluationofcombinedsurgicalrestorativetreatmentofgingivalrecessiontypedefectsusingdifferentrestorativematerialsarandomizedclinicaltrial