Evaluation of a novel restorative protocol to treat non-carious cervical lesion associated with gingival recession: a 2-year follow-up randomized clinical trial

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dc.contributor.authorMathias-Santamaria, Ingrid Fernandes [UNESP]
dc.contributor.authorSantamaria, Mauro Pedrine [UNESP]
dc.contributor.authorSilveira, Camila Augusto [UNESP]
dc.contributor.authorMartinho, Frederico Canato
dc.contributor.authorde Melo, Mary Anne Sampaio
dc.contributor.authorDe Marco, Andrea Carvalho [UNESP]
dc.contributor.authorAugusto, Marina Gullo
dc.contributor.authorde Andrade, Guilherme Schmitt
dc.contributor.authorRoulet, Jean-François
dc.contributor.authorBresciani, Eduardo [UNESP]
dc.contributor.institutionBaltimore
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.contributor.institutionUniversity of Kentucky
dc.contributor.institutionWestern Paraná State University
dc.contributor.institutionUniversity of Florida
dc.date.accessioned2023-07-29T15:34:55Z
dc.date.available2023-07-29T15:34:55Z
dc.date.issued2023-04-01
dc.description.abstractObjective: To compare 2 different resin composites and 2 adhesive systems used in a new restorative protocol (partial restoration) to treat non-carious cervical lesions associated with gingival recession type 1 (RT1). Material and methods: Eighty combined defects (CDs) were treated with a partial restoration and periodontal plastic surgery for root coverage. The CDs were randomly assigned to one of the following groups: NP + TE (n = 20), nanofilled composite and 2-step total-etch adhesive system; NP + UA (n = 20), nanofilled composite and universal adhesive system; MH + TE (n = 20), microhybrid composite and 2-step total-etch adhesive; MH + UA (n = 20), microhybrid composite and universal adhesive. Restorations were assessed using the United States Public Health Service (USPHS) criteria at 1 week (baseline) and 6, 12, and 24 months. Survival rate, periodontal parameters, dentin hypersensitivity (DH), and aesthetics were also evaluated. Results: After 24 months, only the MH + TE group did not lose any restoration, with no significant differences between groups. For surface roughness parameter, MH presented 83.3% of the restorations scoring Bravo, whereas NP presented 48.5% of the restorations scoring Bravo. All groups presented restorations with marginal discoloration. All periodontal parameters behaved similarly, regardless of the restorative material. All groups presented significant reductions of dentin hypersensitivity and improved aesthetic perceptions (p < 0.05). Conclusion: Both resin composites and adhesives tested can be combined for partial restorations to treat CDs. Clinical relevance: This new restorative-surgical protocol to treat CDs presents satisfactory outcomes. The partial restorations can be successfully executed with both combinations of adhesives and resin composites evaluated in this investigation. TRN: ClinicalTrial.gov: NCT03215615; registration date July 12, 2017.en
dc.description.affiliationDepartment of General Dentistry School of Dentistry University of Maryland Baltimore, 650 West Baltimore Street
dc.description.affiliationDepartment of Restorative Dentistry Institute of Science and Technology UNESP - São Paulo State University
dc.description.affiliationDepartment of Diagnosis and Surgery Institute of Science and Technology UNESP - São Paulo State University
dc.description.affiliationCenter for Oral Health Research College of Dentistry University of Kentucky
dc.description.affiliationDepartment of Advanced Oral Sciences and Therapeutics School of Dentistry University of Maryland Baltimore
dc.description.affiliationDepartment of Dentistry School of Dentistry Western Paraná State University
dc.description.affiliationDepartment of Restorative Dental Sciences College of Dentistry University of Florida
dc.description.affiliationUnespDepartment of Restorative Dentistry Institute of Science and Technology UNESP - São Paulo State University
dc.description.affiliationUnespDepartment of Diagnosis and Surgery Institute of Science and Technology UNESP - São Paulo State University
dc.description.sponsorshipCoordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
dc.description.sponsorshipIdCAPES: Finance Code 001
dc.format.extent1781-1792
dc.identifierhttp://dx.doi.org/10.1007/s00784-022-04806-1
dc.identifier.citationClinical Oral Investigations, v. 27, n. 4, p. 1781-1792, 2023.
dc.identifier.doi10.1007/s00784-022-04806-1
dc.identifier.issn1436-3771
dc.identifier.issn1432-6981
dc.identifier.scopus2-s2.0-85143205766
dc.identifier.urihttp://hdl.handle.net/11449/249430
dc.language.isoeng
dc.relation.ispartofClinical Oral Investigations
dc.sourceScopus
dc.subjectComposite resin
dc.subjectDental restoration wear
dc.subjectGingival recession
dc.subjectTooth cervix
dc.subjectTooth wear
dc.titleEvaluation of a novel restorative protocol to treat non-carious cervical lesion associated with gingival recession: a 2-year follow-up randomized clinical trialen
dc.typeArtigo

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Artigos - Diagnóstico e Cirurgia - ICT
Artigos - Odontologia Restauradora - ICT