Restor Dent Endod.  2016 Aug;41(3):218-224. 10.5395/rde.2016.41.3.218.

A combined approach to non-carious cervical lesions associated with gingival recession

Affiliations
  • 1Department of Conservative Dentistry, Seoul St. Mary's Dental Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. dentyeun@catholic.ac.kr
  • 2Department of Periodontology, Seoul St. Mary's Dental Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Abstract

Non-carious cervical lesions (NCCLs) with gingival recession require specific consideration on both aspects of hard and soft tissue lesion. In the restorative aspect, careful finishing and polishing of the restorations prior to mucogingival surgery is the critical factor contributing to success. Regarding surgery, assessment of the configuration of the lesion and the choice of surgical technique are important factors. The precise diagnosis and the choice of the proper treatment procedure should be made on the basis of both restorative and surgical considerations to ensure the successful treatment of NCCLs.

Keyword

Composite restoration; Mucogingival surgery; Non-carious cervical lesion

MeSH Terms

Diagnosis
Gingival Recession*

Figure

  • Figure 1 Preoperative frontal view. Note the presence of a non-carious cervical lesion on the maxillary left central incisor, the lateral incisor, and the canines on both sides. Old resin restorations on right first premolar and central incisor showed ill-fitting margins and poor color matching.

  • Figure 2 Restorative procedures on the maxillary left side. (a) Field isolation and cavity preparation; (b) Phosphoric acid-selective enamel etching; (c) Adhesive system application and incremental resin filling; (d) Photograph after finishing and polishing.

  • Figure 3 Restorative procedures on the maxillary right side. (a) Phosphoric acid-selective enamel etching after removal of the old restoration and cavity preparation; (b) Adhesive system application; (c) Incremental resin filling; (d) Photograph after finishing and polishing.

  • Figure 4 Surgical procedures on the maxillary left side. (a) Multiple adjacent NCCLs; (b) Schematic illustration of the surgery plan; (c) Flap reflection view; (d) Postoperative view after suturing. NCCL, non-carious cervical lesion.

  • Figure 5 Surgical procedures on the maxillary right side. (a) Multiple adjacent NCCLs; (b and c) Schematic illustration of the surgery plan; (d) Postoperative view after suturing. NCCL, non-carious cervical lesion.

  • Figure 6 Postoperative view of the maxillary left side. (a) Preoperative view; (b) Four week follow-up; (c) Eight week follow-up; (d) Six month follow-up.

  • Figure 7 Postoperative view of the maxillary right side. (a) Preoperative view; (b) Four week follow-up; (c) Eight week follow-up; (d) Six month follow-up.

  • Figure 8 Frontal view. (a) Preoperative view; (b) Postoperative view.


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