J Korean Acad Periodontol.  2009 Dec;39(4):437-441.

CTG and restoration in treatment of gingival recession associated with a cervical lesion: report of three cases

• Kim ES
• Park JW
• Suh JY
• Lee JM

Abstract

PURPOSE
The purpose of this report is to show three cases treated by an intergrated periodontal and restorative dentistry approach. METHODS: Three patients with Miller Class I gingiva recessions associated with cervical lesions were enrolled for treatment. Two patients received a connective tissue graft and resin modified glass ionomer, and one patient was treated with a connective tissue graft, resin restoration. Keratinized gingiva and relative gingival recession were measured. RESULTS: The mean reduction of relative gingival recession was 3.7 mm, and the mean keratinized gingiva increase was 2.5 mm. The percentage of root coverage was 80% in average. No signs of gingival inflammation or bleeding on probing were seen. The patients were satisfied with the final esthetics and had no more dentin hypersensitivity. CONCLUSIONS: This report indicates that teeth with Miller Class I gingival recession associated with cervical lesions can be successfully treated by a connective tissue graft combined with restorative dentistry. However, longitudinal randomized controlled clinical trials must be performed to support this approach.

Keyword

gingival recession; glass ionomer cements; tooth abrasion

MeSH Terms

Acrylic Resins
Connective Tissue
Dentin Sensitivity
Dentistry
Esthetics
Gingiva
Gingival Recession
Glass
Glass Ionomer Cements
Hemorrhage
Humans
Inflammation
Keratins
Silicon Dioxide
Tooth
Tooth Abrasion
Transplants
Acrylic Resins
Glass Ionomer Cements
Keratins
Silicon Dioxide

Figure

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  Figure 1 Preoperative view.

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  Figure 2 Radiographic finding.

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  Figure 3 Resin-ionomer restoration.

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  Figure 4 Recipient site preparation.

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  Figure 5 Connective tissue suture.

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  Figure 6 Postoperative view after 2 weeks.

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  Figure 7 Postoperative view after 6 month.

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  Figure 8 Preoperative view.

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  Figure 9 Recipient site preparation.

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  Figure 10 Resin-ionomer restoration.

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  Figure 11 Connective tissue graft.

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  Figure 12 Postoperative view after 2 weeks.

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  Figure 13 Postoperative view after 4 Month.

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  Figure 14 Preoperative view.

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  Figure 15 Connective tissue suture.

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  Figure 16 Postoperative view after 2 years.

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