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Clinical Behavior of the Gingival Margin following Conservative “Coronally Dynamic” Restorations in the Presence of Non-Carious Cervical Lesions Associated with Gingival Recession: A Pilot Study

Gingival recessions (GR) are often associated with the presence of non-carious cervical lesions (NCCL). The latter result in the disappearance of the cement–enamel junction (CEJ), with consequent difficulties both in measuring the recession itself and in performing root coverage techniques. The rest...

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Autores principales: Femiano, Felice, Sorice, Rossella, Femiano, Rossella, Femiano, Luigi, Nucci, Ludovica, Grassia, Vincenzo, Annunziata, Marco, Baldi, Andrea, Scotti, Nicola, Nastri, Livia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9316058/
https://www.ncbi.nlm.nih.gov/pubmed/35877406
http://dx.doi.org/10.3390/dj10070132
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author Femiano, Felice
Sorice, Rossella
Femiano, Rossella
Femiano, Luigi
Nucci, Ludovica
Grassia, Vincenzo
Annunziata, Marco
Baldi, Andrea
Scotti, Nicola
Nastri, Livia
author_facet Femiano, Felice
Sorice, Rossella
Femiano, Rossella
Femiano, Luigi
Nucci, Ludovica
Grassia, Vincenzo
Annunziata, Marco
Baldi, Andrea
Scotti, Nicola
Nastri, Livia
author_sort Femiano, Felice
collection PubMed
description Gingival recessions (GR) are often associated with the presence of non-carious cervical lesions (NCCL). The latter result in the disappearance of the cement–enamel junction (CEJ), with consequent difficulties both in measuring the recession itself and in performing root coverage techniques. The restoration of cervical lesions is consequently an important aspect in the treatment of GR, with the re-establishment of a “new” CEJ. This pilot study aimed to verify whether restorative therapy alone, with the execution of a restoration that mimics the convexity of the natural CEJ and thanks to a slight horizontal over-contour, can stabilize a clot in the intrasulcular site and consequently is able to change the position of the gingival margin in a coronal direction. In periodontally healthy patients, with a non-thin gingival phenotype, 10 GR-associated NCCL restorations were performed using a protocol inspired by concepts of prosthetic conditioning, with a progressively reduced convexity (“coronally dynamic restoration”) and de-epithelialization of the gingival sulcus. We observed that 70% of the treated teeth showed a reduction in crown length after 15 days (−0.267 mm), without an increase in probing depth. While considering the limitations of the sample and the need to evaluate the different parameters that can affect the result, the coronally dynamic restoration of NCCL with GR was able to influence the position of the gingival margin in a coronal direction.
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spelling pubmed-93160582022-07-27 Clinical Behavior of the Gingival Margin following Conservative “Coronally Dynamic” Restorations in the Presence of Non-Carious Cervical Lesions Associated with Gingival Recession: A Pilot Study Femiano, Felice Sorice, Rossella Femiano, Rossella Femiano, Luigi Nucci, Ludovica Grassia, Vincenzo Annunziata, Marco Baldi, Andrea Scotti, Nicola Nastri, Livia Dent J (Basel) Article Gingival recessions (GR) are often associated with the presence of non-carious cervical lesions (NCCL). The latter result in the disappearance of the cement–enamel junction (CEJ), with consequent difficulties both in measuring the recession itself and in performing root coverage techniques. The restoration of cervical lesions is consequently an important aspect in the treatment of GR, with the re-establishment of a “new” CEJ. This pilot study aimed to verify whether restorative therapy alone, with the execution of a restoration that mimics the convexity of the natural CEJ and thanks to a slight horizontal over-contour, can stabilize a clot in the intrasulcular site and consequently is able to change the position of the gingival margin in a coronal direction. In periodontally healthy patients, with a non-thin gingival phenotype, 10 GR-associated NCCL restorations were performed using a protocol inspired by concepts of prosthetic conditioning, with a progressively reduced convexity (“coronally dynamic restoration”) and de-epithelialization of the gingival sulcus. We observed that 70% of the treated teeth showed a reduction in crown length after 15 days (−0.267 mm), without an increase in probing depth. While considering the limitations of the sample and the need to evaluate the different parameters that can affect the result, the coronally dynamic restoration of NCCL with GR was able to influence the position of the gingival margin in a coronal direction. MDPI 2022-07-13 /pmc/articles/PMC9316058/ /pubmed/35877406 http://dx.doi.org/10.3390/dj10070132 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Femiano, Felice
Sorice, Rossella
Femiano, Rossella
Femiano, Luigi
Nucci, Ludovica
Grassia, Vincenzo
Annunziata, Marco
Baldi, Andrea
Scotti, Nicola
Nastri, Livia
Clinical Behavior of the Gingival Margin following Conservative “Coronally Dynamic” Restorations in the Presence of Non-Carious Cervical Lesions Associated with Gingival Recession: A Pilot Study
title Clinical Behavior of the Gingival Margin following Conservative “Coronally Dynamic” Restorations in the Presence of Non-Carious Cervical Lesions Associated with Gingival Recession: A Pilot Study
title_full Clinical Behavior of the Gingival Margin following Conservative “Coronally Dynamic” Restorations in the Presence of Non-Carious Cervical Lesions Associated with Gingival Recession: A Pilot Study
title_fullStr Clinical Behavior of the Gingival Margin following Conservative “Coronally Dynamic” Restorations in the Presence of Non-Carious Cervical Lesions Associated with Gingival Recession: A Pilot Study
title_full_unstemmed Clinical Behavior of the Gingival Margin following Conservative “Coronally Dynamic” Restorations in the Presence of Non-Carious Cervical Lesions Associated with Gingival Recession: A Pilot Study
title_short Clinical Behavior of the Gingival Margin following Conservative “Coronally Dynamic” Restorations in the Presence of Non-Carious Cervical Lesions Associated with Gingival Recession: A Pilot Study
title_sort clinical behavior of the gingival margin following conservative “coronally dynamic” restorations in the presence of non-carious cervical lesions associated with gingival recession: a pilot study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9316058/
https://www.ncbi.nlm.nih.gov/pubmed/35877406
http://dx.doi.org/10.3390/dj10070132
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