Journal List > J Korean Acad Periodontol > v.39(Suppl) > 1049822

J Korean Acad Periodontol. 2009 Dec;39(4):437-441. Korean.
Published online December 31, 2009.  https://doi.org/10.5051/jkape.2009.39.4.437
Copyright © 2009 Korean Academy of Periodontology
CTG and restoration in treatment of gingival recession associated with a cervical lesion: report of three cases
Eun-Suk Kim, Jin-Woo Park, Jo-Young Suh and Jae-Mok Lee
Department of Periodontology, School of Dentistry, Kyungpook National University, Daegu, Korea.

Correspondence: Dr. Jae-Mok Lee. Department of Periodontology, School of Dentistry, Kyungpook National University, 188-1, Samduk-dong 2ga, Jung-gu Daegu, 700-412, Korea. Email: leejm@knu.ac.kr , Tel: 82-53-600-7511, Fax: 82-53-427-3263
Received October 29, 2009; Accepted November 30, 2009.

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.

Keywords: gingival recession; glass ionomer cements; tooth abrasion

Figures


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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Tables


Table 1
Clinical Parameter Measurements of Pre- and Post-operation
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