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 Guarulhos, Brazil.

Received: November 29, 2022; Published: January 13, 2023

Abstract

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 [1] 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 [2].
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

References

1. CAIRO F., et al. “Treatment of gingival recession with coronally advanced flap procedures: a systematic review”. Journal of Clinical Periodontology 8 (2008): 136-162.
2. BISAIA A., et al. “Uso de fragmentos cerâmicos para fechamento de diastemas anteriores”. Journal of Applied Oral Science (2017).
3. Khan AV., et al. “Antibacterial activity of leaves extracts of Trifolium alexandrinum against pathogenic bacteria causing tropical diseases”. Asian Pacific Journal of Tropical Biomedicine 2.3 (2012): 189-194.
4. BARTLETT DW and SHAH P. “A Critical Review of Non-carious Cervical (Wear) Lesions and the Role of Abfraction, Erosion, and Abrasion”. Journal of Dental Research 4 (2006): 306-312.
5. MORASCHINI V., et al. “Effectiveness for dentin hypersensitivity treatment of non-carious cervical lesions: a meta-analysis”. Clinical Oral Investigations 22 (2018): 617-631.
6. Lee WC and Eakle WS. “Possible role of tensile stress in the etiology of cervical erosive lesions of teeth”. Journal of Prosthetic Dentistry 3 (1984): 374-380.
7. ZUCCHELLI G., et al. “Coronally Advanced Flap with and Without Vertical Releasing Incisions for the Treatment of Multiple Gingival Recessions: A Comparative Controlled Randomized Clinical Trial”. Journal of Periodontology 7 (2009): 1083-1094.
8. Soares PV., et al. “Loading and composite restoration assessment of various non-carious cervical lesions morphologies - 3D finite element analysis”. Australian Dental Journal 3 (2015): 309-316.
9. Miller PD Jr. “A classification of marginal tissue recession”. International Journal of Periodontics and Restorative Dentistry 2 (1985): 8-13.
10. BHUNDIA S., et al. “Non-carious cervical lesions - can terminology influence our clinical assessment?” British Dental Journal 11 (2019).
11. Pereira GKR., et al. “Effect of zirconia polycrystal and stainless steel on the wear of resin composites, dentin and enamel”. Journal of the Mechanical Behavior of Biomedical Materials 91 (2019): 287-293.
12. ANNIBALI S., et al. “The role of the template in prosthetically guided implantology”. Journal of Prosthodontics, Massachusetts 18 (2009): 177-183.
13. Gross MD. “Occlusion in implant dentistry. A review of the literature of prosthetic determinants and current concepts”. Australian Dental Journal 1 (2008): S60-68.
14. LIMA A., et al. “Previsibilidade com implantes osseointegrados. In: SALLUM, A. W.; CICCARELI, A. J.; QUERIDO, M. R. M.; BASTOS NETO, F. V. R. Periodontologia e Implantodontia: soluções estéticas e recursos clínicos. São Paulo: Napoleão (2010).
15. ETOZ OA., et al. “Is supraperiosteal infiltration anesthesia safe enough to prevent inferior alveolar nerve during posterior mandibular implant surgery?” Medicina Oral, Patologia Oral y Cirugia Bucal 3 (2011): e386-389.
16. MAIR LH. “Wear in dentistry: current terminology”. Journal of Dentistry 20 (1992): 140-144.
17. TURSSI CP., et al. “Interplay between toothbrush stiffness and dentifrice abrasivity on the development of non-carious cervical lesions”. Clinical Oral Investigations 23 (2019): 3551-3556.
18. ROCCUZZO M., et al. “Periodontal plastic surgery for treatment of localized gingival recessions: a systematic review”. Journal of Clinical Periodontology 3 (2002): 178-194.
19. FERES M., et al. “Microbiological basis for periodontal Therapy”. Journal of Applied Oral Science 4 (2004): 256-266.
20. REIS GR., et al. “Mock-up: previsibilidade e facilitador das restaurações estéticas em resina composta”. Revista Odontológica do Brasil Central 81 (2018): 105-111.

Citation

Citation: Leandro Lécio de Lima Sousa., et al. “Coronal Flap Advancement for Treatment of Non-Carious Cervical Lesion Followed by Ceramic Restoration: Case Report". Acta Scientific Dental Sciences 7.2 (2023): 126-133.

Copyright

Copyright: © 2023 Leandro Lécio de Lima Sousa., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.