Coronal Flap Advancement for Treatment of Non-Carious Cervical Lesion
Followed by Ceramic Restoration: Case Report
Rachel Priscilla Silva Pereira1, Luana Diógenes Pinheiro Barroso2, Marcilio Galindo Farias Filho1, Cibelle Correia Cavalcante1, Ana Andrea Fonseca Rosendo de Melo1, Daniele Ferreira Cruz3, Tiago Margute3, Sergio Charifker Ribeiro Martins3 and Leandro Lécio de Lima Sousa3
1ICS-Funorte-Faculdades Integradas do Norte de Minas, Brazil
2Facset - Faculdade Sete Lagoas, Brazil
3UNG - Universidade Guarulhos, Brazil
*Corresponding Author: Leandro Lécio de Lima Sousa, UNG - Universidade
Received: November 29, 2022; Published: January 13, 2023
Non Carious Cervical Lesion (NCCL) are located at cervical region of the tooth and can affect crown, root or both areas simultaneously, leading to the vanishing of cement-enamel junction (CEJ), also called root crown lesion. An up-to-date gingival recession classification, proposed by Cairo., et al. in 2011  and accepted in scientific community in 2018, present the lesions by the following: Recession type 1 (RT1): no inter proximal insertion loss. CEJ is not detectable on both sides - mesial and distal. Recession type 2 (RT2): loss of inter proximal insertion is associated with the gingival recession. A 56 years old patient presenting several abfraction lesions on the anterior region of maxillae - from tooth 26 to 15, and misadapted prosthetic restoration on tooth 21, reporting pain caused by hypersensibilization of cervical area of teeth 11, 12, 13, 14, 22, 23. The sub connective tissue graft, most predictive surgical treatment for gingival recession in rate of root covering percentage was proposed in association with ceramic fragments, individualized restoration with cervical finish localized in dental surface. This treatment is indicated when dental position permits the increase of restorative material with minimal preparation of tooth, only on enamel surface, for example in diastema closure, anatomical alteration of tooth morphology, increase of buccal volume, mispositioned tooth and incisal edge fracture .
The possibility of association of the soft tissue graft with amelogenin offer better result in recession treatment with good rates of root covering creating a good scenario for aesthetic restorations.
Keywords:Non-Carious Cervical Lesion; Ceramic Restoration; Coronal Flap
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