What are the surgical treatment options for grafting areas of gingival recession association with cervical lesions? A Review

This summary is based on the article published in the Journal of Esthetic and Restorative Dentistry: Surgical Treatment Options for Grafting Areas of Gingival Recession Association with Cervical Lesions: A Review (December 2013)

Isabella Bignozzi, Cristiano Littarru, Alessandro Crea, Gianluca Vittorini Orgeas, and Luca Landi

Context

Gingival recession (GR) is a highly prevalent dental problem that may be associated with dentin hypersensitivity and aesthetic complaint.

GR is often complicated by dental cervical wear of substance, such as erosion, abrasion, or abfraction lesions, as well as initial or more extensive carious involvement of the cervical area, which worsen the symptoms and make the treatment of this periodontal condition more challenging.

Purpose of the Review

To provide an overview of surgical treatment options presented in the literature for sites affected by GR with carious cervical lesions (CCL) or non‐carious cervical lesions (NCCL).

Key Findings

• Several periodontal surgical techniques have shown good potential for treating GR over the years. Specifically, considering GR associated with CCL or NCCL, an assessment of both hard (dental) and soft (gingival) tissue characteristics of the involved site is recommended in selecting the surgical procedure.
• For GR associated with CCL or NCCL, hard and soft tissue characteristics of the involved site have to be carefully evaluated in order to choose the most appropriate surgical procedure.
• A structured decision‐making process, considering both hard and soft tissue characteristics of the involved site, is recommended in choosing the most appropriate surgical procedures to treat GR associated with CCL or NCCL defects. The restitutio ad integrum of the dento‐periodontal unit is an essential condition to restore the tooth to its original function and esthetics.

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