Single gingival recession associated with non-carious cervical lesion treated by partial restoration and coronally advanced flap with or without xenogenous collagen matrix: A randomized clinical trial evaluating the coverage procedures and restorative protocol

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dc.contributor.authorMathias-Santamaria, Ingrid Fernandes [UNESP]
dc.contributor.authorSilveira, Camila Augusto [UNESP]
dc.contributor.authorRossato, Amanda [UNESP]
dc.contributor.authorSampaio de Melo, Mary Anne
dc.contributor.authorBresciani, Eduardo [UNESP]
dc.contributor.authorSantamaria, Mauro Pedrine [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.contributor.institutionUniversity of Maryland School of Dentistry
dc.contributor.institutionUniversity of Kentucky
dc.date.accessioned2022-05-01T08:44:37Z
dc.date.available2022-05-01T08:44:37Z
dc.date.issued2021-01-01
dc.description.abstractBackground: Evaluate the use of collagen matrix (CM) as adjunctive to coronally advanced flap (CAF versus CAF + CM) to treat gingival recession (GR) associated with non-carious cervical lesion–combined defects (CDs). Methods: Sixty-two patients presenting 62 CDs (RT1 GR and non-carious cervical lesion (NCCLs) were randomly allocated to either CAF group (n = 31): partial restoration of the NCCL and CAF; or to CAF + CM group (n = 31): partial restoration of the NCCL and CAF associated with CM. Clinical, esthetic, patient-centered outcomes, and restorative parameters were assessed. Results: After 12 months, CD coverage were 55.2% for CAF and 54.4% for CAF + CM (P = 0.8). Recession reduction were 1.9 ± 0.8 mm for CAF and 2.0 ± 0.7 mm for CAF + CM (P = 0.6). CAF+CM resulted in higher increase in keratinized tissue (KT) width (CAF: 0.3 ± 0.7 mm; CAF + CM: 0.9 ± 0.8 mm; P = 0.004) and KT thickness gain (CAF: 0.1 ± 0.3 mm; CAF + CM: 0.7 ± 0.2 mm; P = 0.001). Both treatments presented low postoperative pain and resulted in esthetics improvements. In addition, no restoration was lost, 27.4% showed a reduction of the superficial polishing, and 8% showed marginal staining, but still clinically acceptable. Conclusion: Partial resin composite restoration (with the apical limit up to 1 mm of the estimated CEJ) and CAF alone or combined with CM are suitable for treating CDs. The use of CM provided additional benefits in terms of KT width and thickness gain. (NCT03341598).en
dc.description.affiliationUNESP Sao Paulo State University Division of Periodontology College of Dentistry
dc.description.affiliationDivision of Operative Dentistry Department of General Dentistry University of Maryland School of Dentistry
dc.description.affiliationUNESP Sao Paulo State University Division of Operative Dentistry College of Dentistry
dc.description.affiliationCollege of Dentistry—Lexington University of Kentucky
dc.description.affiliationUnespUNESP Sao Paulo State University Division of Periodontology College of Dentistry
dc.description.affiliationUnespUNESP Sao Paulo State University Division of Operative Dentistry College of Dentistry
dc.identifierhttp://dx.doi.org/10.1002/JPER.21-0358
dc.identifier.citationJournal of Periodontology.
dc.identifier.doi10.1002/JPER.21-0358
dc.identifier.issn0022-3492
dc.identifier.scopus2-s2.0-85113171281
dc.identifier.urihttp://hdl.handle.net/11449/233422
dc.language.isoeng
dc.relation.ispartofJournal of Periodontology
dc.sourceScopus
dc.subjectdental esthetics
dc.subjectdentin sensitivity
dc.subjectgingival recession
dc.subjecttooth abrasion
dc.subjecttooth cervix
dc.titleSingle gingival recession associated with non-carious cervical lesion treated by partial restoration and coronally advanced flap with or without xenogenous collagen matrix: A randomized clinical trial evaluating the coverage procedures and restorative protocolen
dc.typeArtigo
unesp.author.orcid0000-0001-9468-0729[6]

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