Rethinking the decision-making process to treat gingival recession associated with non-carious cervical lesions
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Brazilian Oral Research |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242021000300601 |
Resumo: | Abstract The presence of a tooth-surface defect, such as a non-carious cervical lesion (NCCL), associated with sites of gingival recession (GR) defects creates a combined soft tissue/tooth defect (CD) that requires a different treatment plan. This study aimed to critically review the literature regarding the available treatment protocols for CDs and suggest a new decision-making process. NCCLs were classified as Class A-: the cementoenamel junction (CEJ) was visible and the root surface discrepancy was < 0.5 mm (no step); Class A+: CEJ was visible and the root surface discrepancy was > 0.5 mm (with a step); Class B-: unidentifiable CEJ without a step; Class B+: unidentifiable CEJ with a step. NCCLs affecting both root and crown surfaces (Class B) lead to CEJ destruction and consequently eliminate an important landmark used before and after root coverage procedures. The depth of the root surface discrepancy is vital owing to its possible impact on soft tissue adaptation after healing, which, in turn, may influence the treatment options, namely the use of graft and/or composites to compensate for the discrepancy. Clinically, a step with horizontal depth greater than 0.5 mm should be recognized as the minimum threshold value to define this condition. Extremely deep defects tend to assume a V-shaped topography. Therefore, extremely deep V-shaped defects were classified into subclasses A+V, a V-shaped defect, and B+V, a V-shaped defect with loss of CEJ, for management considerations. The treatment options, supported by the literature, and a decision-making process to deal with each condition are presented. |
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Rethinking the decision-making process to treat gingival recession associated with non-carious cervical lesionsGingival RecessionTooth AbrasionTooth CervixTooth RootDentin SensitivityClinical Decision-MakingAbstract The presence of a tooth-surface defect, such as a non-carious cervical lesion (NCCL), associated with sites of gingival recession (GR) defects creates a combined soft tissue/tooth defect (CD) that requires a different treatment plan. This study aimed to critically review the literature regarding the available treatment protocols for CDs and suggest a new decision-making process. NCCLs were classified as Class A-: the cementoenamel junction (CEJ) was visible and the root surface discrepancy was < 0.5 mm (no step); Class A+: CEJ was visible and the root surface discrepancy was > 0.5 mm (with a step); Class B-: unidentifiable CEJ without a step; Class B+: unidentifiable CEJ with a step. NCCLs affecting both root and crown surfaces (Class B) lead to CEJ destruction and consequently eliminate an important landmark used before and after root coverage procedures. The depth of the root surface discrepancy is vital owing to its possible impact on soft tissue adaptation after healing, which, in turn, may influence the treatment options, namely the use of graft and/or composites to compensate for the discrepancy. Clinically, a step with horizontal depth greater than 0.5 mm should be recognized as the minimum threshold value to define this condition. Extremely deep defects tend to assume a V-shaped topography. Therefore, extremely deep V-shaped defects were classified into subclasses A+V, a V-shaped defect, and B+V, a V-shaped defect with loss of CEJ, for management considerations. The treatment options, supported by the literature, and a decision-making process to deal with each condition are presented.Sociedade Brasileira de Pesquisa Odontológica - SBPqO2021-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242021000300601Brazilian Oral Research v.35 suppl.2 2021reponame:Brazilian Oral Researchinstname:Sociedade Brasileira de Pesquisa Odontológica (SBPqO)instacron:SBPQO10.1590/1807-3107bor-2021.vol35.0096info:eu-repo/semantics/openAccessSANTAMARIA,Mauro PedrineMATHIAS-SANTAMARIA,Ingrid FernandesFERRAZ,Laís Fernanda FerreiraCASARIN,Renato Corrêa VianaROMITO,Giuseppe AlexandreSALLUM,Enilson AntônioPINI-PRATO,Giovan PaoloCASATI,Márcio Zaffaloneng2021-09-22T00:00:00Zoai:scielo:S1806-83242021000300601Revistahttps://www.scielo.br/j/bor/https://old.scielo.br/oai/scielo-oai.phppob@edu.usp.br||bor@sbpqo.org.br1807-31071806-8324opendoar:2021-09-22T00:00Brazilian Oral Research - Sociedade Brasileira de Pesquisa Odontológica (SBPqO)false |
dc.title.none.fl_str_mv |
Rethinking the decision-making process to treat gingival recession associated with non-carious cervical lesions |
title |
Rethinking the decision-making process to treat gingival recession associated with non-carious cervical lesions |
spellingShingle |
Rethinking the decision-making process to treat gingival recession associated with non-carious cervical lesions SANTAMARIA,Mauro Pedrine Gingival Recession Tooth Abrasion Tooth Cervix Tooth Root Dentin Sensitivity Clinical Decision-Making |
title_short |
Rethinking the decision-making process to treat gingival recession associated with non-carious cervical lesions |
title_full |
Rethinking the decision-making process to treat gingival recession associated with non-carious cervical lesions |
title_fullStr |
Rethinking the decision-making process to treat gingival recession associated with non-carious cervical lesions |
title_full_unstemmed |
Rethinking the decision-making process to treat gingival recession associated with non-carious cervical lesions |
title_sort |
Rethinking the decision-making process to treat gingival recession associated with non-carious cervical lesions |
author |
SANTAMARIA,Mauro Pedrine |
author_facet |
SANTAMARIA,Mauro Pedrine MATHIAS-SANTAMARIA,Ingrid Fernandes FERRAZ,Laís Fernanda Ferreira CASARIN,Renato Corrêa Viana ROMITO,Giuseppe Alexandre SALLUM,Enilson Antônio PINI-PRATO,Giovan Paolo CASATI,Márcio Zaffalon |
author_role |
author |
author2 |
MATHIAS-SANTAMARIA,Ingrid Fernandes FERRAZ,Laís Fernanda Ferreira CASARIN,Renato Corrêa Viana ROMITO,Giuseppe Alexandre SALLUM,Enilson Antônio PINI-PRATO,Giovan Paolo CASATI,Márcio Zaffalon |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
SANTAMARIA,Mauro Pedrine MATHIAS-SANTAMARIA,Ingrid Fernandes FERRAZ,Laís Fernanda Ferreira CASARIN,Renato Corrêa Viana ROMITO,Giuseppe Alexandre SALLUM,Enilson Antônio PINI-PRATO,Giovan Paolo CASATI,Márcio Zaffalon |
dc.subject.por.fl_str_mv |
Gingival Recession Tooth Abrasion Tooth Cervix Tooth Root Dentin Sensitivity Clinical Decision-Making |
topic |
Gingival Recession Tooth Abrasion Tooth Cervix Tooth Root Dentin Sensitivity Clinical Decision-Making |
description |
Abstract The presence of a tooth-surface defect, such as a non-carious cervical lesion (NCCL), associated with sites of gingival recession (GR) defects creates a combined soft tissue/tooth defect (CD) that requires a different treatment plan. This study aimed to critically review the literature regarding the available treatment protocols for CDs and suggest a new decision-making process. NCCLs were classified as Class A-: the cementoenamel junction (CEJ) was visible and the root surface discrepancy was < 0.5 mm (no step); Class A+: CEJ was visible and the root surface discrepancy was > 0.5 mm (with a step); Class B-: unidentifiable CEJ without a step; Class B+: unidentifiable CEJ with a step. NCCLs affecting both root and crown surfaces (Class B) lead to CEJ destruction and consequently eliminate an important landmark used before and after root coverage procedures. The depth of the root surface discrepancy is vital owing to its possible impact on soft tissue adaptation after healing, which, in turn, may influence the treatment options, namely the use of graft and/or composites to compensate for the discrepancy. Clinically, a step with horizontal depth greater than 0.5 mm should be recognized as the minimum threshold value to define this condition. Extremely deep defects tend to assume a V-shaped topography. Therefore, extremely deep V-shaped defects were classified into subclasses A+V, a V-shaped defect, and B+V, a V-shaped defect with loss of CEJ, for management considerations. The treatment options, supported by the literature, and a decision-making process to deal with each condition are presented. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242021000300601 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242021000300601 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1807-3107bor-2021.vol35.0096 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Pesquisa Odontológica - SBPqO |
publisher.none.fl_str_mv |
Sociedade Brasileira de Pesquisa Odontológica - SBPqO |
dc.source.none.fl_str_mv |
Brazilian Oral Research v.35 suppl.2 2021 reponame:Brazilian Oral Research instname:Sociedade Brasileira de Pesquisa Odontológica (SBPqO) instacron:SBPQO |
instname_str |
Sociedade Brasileira de Pesquisa Odontológica (SBPqO) |
instacron_str |
SBPQO |
institution |
SBPQO |
reponame_str |
Brazilian Oral Research |
collection |
Brazilian Oral Research |
repository.name.fl_str_mv |
Brazilian Oral Research - Sociedade Brasileira de Pesquisa Odontológica (SBPqO) |
repository.mail.fl_str_mv |
pob@edu.usp.br||bor@sbpqo.org.br |
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1750318328078925824 |