Does the Use of Combined Surgical/Restorative Approaches Enhance the Clinical Outcomes of Recession‐Type Defects With Non‐Carious Cervical Lesions?

Pinto, Rodrigo Carlos Nahas de Castro

doi:10.1902/cap.2013.130009

Cited by 5 publications

(9 citation statements)

References 14 publications

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“…Two of them reported not only short‐term outcomes (6 months) but long‐term results (24 months) as well 183‐186 . Overall, the included studies showed that both procedures provided significant recession reduction and CAL gain, independently of whether the NCCL was restored or not (i.e., combined restorative–surgical approaches were as safe, predictable, and effective as the single use of the surgical procedures) 182‐187 . None of these included RCTs have evaluated the esthetic outcomes by a standardized scale 182‐186 …”

Section: Summary Of What Other Srs Have Evaluatedmentioning

confidence: 99%

“…Three RCTs 182-186 that investigated the role of combined restorative-surgical approaches in the treatment of GR associated with NCCLs and their detailed outcomes have been explored by a recent publication in Clinical Advances in Periodontics. 187 In this best-evidence topic paper, these trials as-sessed the combination of restorative procedures + CAF [182][183][184] or SCTG + CAF 185,186 procedures. Two of them reported not only short-term outcomes (6 months) but long-term results (24 months) as well.…”

Section: Root Surface Conditioningmentioning

confidence: 99%

“…[183][184][185][186] Overall, the included studies showed that both procedures provided significant recession reduction and CAL gain, independently of whether the NCCL was restored or not (i.e., combined restorative-surgical approaches were as safe, predictable, and effective as the single use of the surgical procedures). [182][183][184][185][186][187] None of these included RCTs have evaluated the esthetic outcomes by a standardized scale. [182][183][184][185][186] With respect to the long-term stability of results achieved with RC procedures, there was an increase in recession depth between short-and long-term assessments for GRs treated with CAF (independently of whether cervical lesions were restored or not).…”

Section: Root Surface Conditioningmentioning

confidence: 99%

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Periodontal Soft Tissue Root Coverage Procedures: A Systematic Review From the AAP Regeneration Workshop

Chambrone

Tatakis

2015

Journal of Periodontology

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375

615

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Background: This paper aims to create a ''bridge'' between research and practice by developing a practical, extensive, and clinically relevant study that translates evidence-based findings on soft tissue root coverage (RC) of recession-type defects to daily clinical practice.Methods: This review is prepared in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement based on the proposed focused questions. A literature search with no restrictions regarding status or the language of publication was performed for MEDLINE and EMBASE databases up to and including June 2013. Systematic reviews (SRs), randomized clinical trials, controlled clinical trials, case series, and case reports evaluating recession areas that were treated by means of RC procedures were considered eligible for inclusion through the three parts of the study (part I, an overview of the base of SRs; part II, an alternative random-effects meta-analyses on mean percentage of RC and sites exhibiting complete RC; and part III, an SR of non-randomized trials exploring other conditions not extensively evaluated by previous SRs). Data on Class I, II, III, and IV recessions, type of histologic attachment achieved with treatment, recipient-and donor-site anatomic characteristics, smoking-related outcomes, root surface conditions, tooth type and location, long-term effectiveness outcomes, unusual conditions that may be reported during conventional daily practice, and patient-centered outcomes were assessed as well.Results: Of the 2,456 potentially eligible trials, 234 were included. Data on Class I, II, III, and IV gingival recessions, histologic attachment achieved after treatment, recipient-and donor-site anatomic characteristics, smoking-related outcomes, root surface conditions/biomodification, tooth type and location, long-term effectiveness outcomes and unusual conditions that may be reported during conventional daily practice, and patient-centered outcomes (i.e., esthetic, visual analog scale, complications, hypersensitivity, patients perceptions) were assessed. Subepithelial connective tissue (CT)-based procedures and coronally advanced flap plus acellular dermal matrix grafts, enamel matrix derivative, or collagen matrix led to the best improvements of recession depth, clinical attachment level (CAL) gain, and keratinized tissue (KT). Some conditions, such as smoking and use of magnification, may affect RC outcomes.Conclusions: All RC procedures can provide significant reduction in recession depth and CAL gain for Miller Class I and II recession-type defects. Subepithelial CT graft-based procedures provided the best outcomes for clinical practice because of their superior percentages of mean and complete RC, as well as significant increase of KT. J Periodontol 2015;86(Suppl.):S8-S51.

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Section: Summary Of What Other Srs Have Evaluatedmentioning

confidence: 99%

Section: Root Surface Conditioningmentioning

confidence: 99%

Section: Root Surface Conditioningmentioning

confidence: 99%

See 1 more Smart Citation

Periodontal Soft Tissue Root Coverage Procedures: A Systematic Review From the AAP Regeneration Workshop

Chambrone

Tatakis

2015

Journal of Periodontology

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375

615

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“…Numerous studies have found absence of connective tissue attachment and formation of long junctional epithelium over restorative material surfaces after soft tissue augmentation procedures . Also, the mean root coverage has been found to be more on nonrestored teeth versus restored teeth . Hence, there is scope for investigation of a better restorative biomaterial that might elicit a more favorable periodontal response.…”

Section: Introductionmentioning

confidence: 99%

“…[3][4][5] Also, the mean root coverage has been found to be more on nonrestored teeth versus restored teeth. 6 Hence, there is scope for investigation of a better restorative biomaterial that might elicit a more favorable periodontal response. A starting point toward this investigation may be to test the cellular response of periodontal ligament fibroblasts, the primary cells involved in repair and regeneration of the periodontium.…”

Section: Introductionmentioning

confidence: 99%

In vitro biocompatibility of hydroxyapatite‐added GIC: An SEM study using human periodontal ligament fibroblasts

Thomas

Gupta²

2017

J Esthet Restor Dent

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The search for an ideal cervical restorative dental material has been ever elusive. Hydroxyapatite-added GIC is a simple and economical dental material to fabricate from basic conventional GIC. The results from this study strengthen its candidature for cervical and root surface restorations which may later require soft tissue augmentation. The possibility of connective tissue adhesion to this material is an exciting prospect in the field of periorestorative dentistry.

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Rationale for the Surgical Treatment of Single and Multiple Recession-Type Defects

Chambrone¹,

Frias

Gonzalez³

et al. 2015

Evidence-Based Periodontal and Peri-Implant Plastic Surgery

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Does the Use of Combined Surgical/Restorative Approaches Enhance the Clinical Outcomes of Recession‐Type Defects With Non‐Carious Cervical Lesions?

Cited by 5 publications

References 14 publications

Periodontal Soft Tissue Root Coverage Procedures: A Systematic Review From the AAP Regeneration Workshop

Periodontal Soft Tissue Root Coverage Procedures: A Systematic Review From the AAP Regeneration Workshop

In vitro biocompatibility of hydroxyapatite‐added GIC: An SEM study using human periodontal ligament fibroblasts

Rationale for the Surgical Treatment of Single and Multiple Recession-Type Defects

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