Rethinking the decision-making process to treat gingival recession associated with non-carious cervical lesions

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MetadadosDescriçãoIdioma
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorUniversidade Estadual de Campinas (UNICAMP)-
Autor(es): dc.contributorUniversidade de São Paulo (USP)-
Autor(es): dc.contributorTuscany Academy of Dental Research — ATRO-
Autor(es): dc.creatorSantamaria, Mauro Pedrine-
Autor(es): dc.creatorMathias-Santamaria, Ingrid Fernandes-
Autor(es): dc.creatorFerraz, Laís Fernanda Ferreira-
Autor(es): dc.creatorCasarin, Ren'to Corrê‘ Vi'n’-
Autor(es): dc.creatorRomito, Giuseppe Alex'ndre-
Autor(es): dc.creatorSallum, Enilson Antônio-
Autor(es): dc.creatorPini-Prato, Giovan Paolo-
Autor(es): dc.creatorCasati, Márcio Zaffalon-
Data de aceite: dc.date.accessioned2025-08-21T19:28:14Z-
Data de disponibilização: dc.date.available2025-08-21T19:28:14Z-
Data de envio: dc.date.issued2022-05-01-
Data de envio: dc.date.issued2022-05-01-
Data de envio: dc.date.issued2020-12-31-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1590/1807-3107bor-2021.vol35.0096-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/233421-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/233421-
Descrição: dc.descriptionThe 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.-
Descrição: dc.descriptionUniversidade Estadual Paulista — Unesp Institute of Science and Technology Department of Diagnosis and Surgery-
Descrição: dc.descriptionUniversidade Estadual de Campinas — Unicamp Piracicaba Dental School Department of Prosthodontics and Periodontics-
Descrição: dc.descriptionUniversidade de São Paulo — USP School of Dentistry Department of Stomatology-
Descrição: dc.descriptionTuscany Academy of Dental Research — ATRO-
Descrição: dc.descriptionUniversidade Estadual Paulista — Unesp Institute of Science and Technology Department of Diagnosis and Surgery-
Formato: dc.format1-15-
Idioma: dc.languageen-
Relação: dc.relationBrazilian Oral Research-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectClinical Decision-Making-
Palavras-chave: dc.subjectDentin Sensitivity-
Palavras-chave: dc.subjectGingival Recession-
Palavras-chave: dc.subjectTooth Abrasion-
Palavras-chave: dc.subjectTooth Cervix-
Palavras-chave: dc.subjectTooth Root-
Título: dc.titleRethinking the decision-making process to treat gingival recession associated with non-carious cervical lesions-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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