본문 바로가기
KERD
논문KCI 등재

Treatment efficacy of gingival recession defects associated with non-carious cervical lesions: a systematic review

Lívia Maria Lopes de Oliveira|Camila Agra Souza|Sinara Cunha|Rafael Siqueira|Bruna de Carvalho Farias Vajgel|Renata Cimões
대한치주과학회 (The Korean Academy Of Periodontology)|2022.04|Journal of Periodontal & Implant Science|제52권 제2호|pp. 91-115|DOI 10.5051/jpis.2102580129

2

조회

0

다운로드

1

인용

0

참고문헌

키워드

PermanentTooth wearGingival recessionDental restorationSurgical flapautograft
주제분류치의학

초록

Purpose: This systematic review aimed to compare the efficacy, defined in terms of the mean percentage of root coverage (mRC), of surgical treatment approaches combined with adhesive restorations of non-carious cervical lesions (NCCLs) to that of root coverage alone in patients with a single gingival recession (GR) and NCCL. Methods: A literature search was conducted to identify longitudinal studies reporting the mRC following treatment for the correction of GR defects associated with NCCLs using a combination of surgical and restorative techniques in systemically and periodontally healthy patients. Results: The search resulted in the retrieval of 12,409 records. Seven publications met the inclusion criteria for the qualitative synthesis of data. The mRCs ranged from 69% to 97%. In the medium term, the gingival margin position was more stable when a connective tissue graft (CTG) was used, independently of whether restoration of teeth with NCCLs was performed. Conclusions: The strength of the evidence was limited by methodological heterogeneity in terms of study design as well as the unit and period of analysis, which precluded a metaanalysis. Although no definitive conclusion could be drawn due to the lack of sufficient evidence to estimate the effectiveness of the interventions, CTG-based procedures contributed to gingival margin stability regardless of the performance of restoration to treat NCCLs.

Abstract

Purpose: This systematic review aimed to compare the efficacy, defined in terms of the mean percentage of root coverage (mRC), of surgical treatment approaches combined with adhesive restorations of non-carious cervical lesions (NCCLs) to that of root coverage alone in patients with a single gingival recession (GR) and NCCL. Methods: A literature search was conducted to identify longitudinal studies reporting the mRC following treatment for the correction of GR defects associated with NCCLs using a combination of surgical and restorative techniques in systemically and periodontally healthy patients. Results: The search resulted in the retrieval of 12,409 records. Seven publications met the inclusion criteria for the qualitative synthesis of data. The mRCs ranged from 69% to 97%. In the medium term, the gingival margin position was more stable when a connective tissue graft (CTG) was used, independently of whether restoration of teeth with NCCLs was performed. Conclusions: The strength of the evidence was limited by methodological heterogeneity in terms of study design as well as the unit and period of analysis, which precluded a metaanalysis. Although no definitive conclusion could be drawn due to the lack of sufficient evidence to estimate the effectiveness of the interventions, CTG-based procedures contributed to gingival margin stability regardless of the performance of restoration to treat NCCLs.

참고문헌 (49)

  1. Caffesse RG, "Treatment of localized gingival recessions. Part II. Coronally repositioned flap with a free gingival graft", J Periodontol, 49, pp.357~361 (1978)
  2. Löe H, "The natural history of periodontal disease in man: prevalence, severity, and extent of gingival recession", J Periodontol, 63, pp.489~495 (1992)
  3. Jati AS, "Gingival recession: its causes and types, and the importance of orthodontic treatment", Dental Press J Orthod, 21, pp.18~29 (2016)
  4. Billings M, "Age-dependent distribution of periodontitis in two countries: Findings from NHANES 2009 to 2014 and SHIP-TREND 2008 to 2012", J Periodontol, 89(Suppl 1), pp.S140~S158 (2018)[DOI]
  5. Chrysanthakopoulos NA, "Gingival recession : prevalence and risk indicators among young Greek adults", J Clin Exp Dent, 6, pp.e243~9 (2014)
  6. Costa RSA, "Prevalence and risk indicators of dentin hypersensitivity in adult and elderly populations from Porto Alegre, Brazil", J Periodontol, 85, pp.1247~1258 (2014)
  7. Wagner TP, "Gingival recession and oral health-related quality of life : a population-based cross-sectional study in Brazil", Community Dent Oral Epidemiol, 44, pp.390~399 (2016)
  8. Pini-Prato G, "Influence of inter-dental tissues and root surface condition on complete root coverage following treatment of gingival recessions : a 1-year retrospective study", J Clin Periodontol, 42, pp.567~574 (2015)
  9. Pini Prato GP, "Long-term evaluation(20 years)of the outcomes of coronally advanced flap in the treatment of single recession-type defects", J Periodontol, 89, pp.265~274 (2018)
  10. Pini Prato GP, "Long-term evaluation (20 years) of the outcomes of subepithelial connective tissue graft plus coronally advanced flap in the treatment of maxillary single recession-type defects", J Periodontol, 89, pp.1290~1299 (2018)
  11. Cairo F, "Root coverage procedures improve patient aesthetics. A systematic review and Bayesian network meta-analysis", J Clin Periodontol, 43, pp.965~975 (2016)
  12. Cairo F, "Periodontal plastic surgery of gingival recessions at single and multiple teeth", Periodontol 2000, 75, pp.296~316 (2017)
  13. Madeley E, "Coronally advanced flap combined with connective tissue graft; treatment of choice for root coverage following recession?", Evid Based Dent, 18, pp.6~7 (2017)
  14. Santamaria MP, "Randomized controlled clinical trial evaluating connective tissue graft plus resin-modified glass ionomer restoration for the treatment of gingival recession associated with non-carious cervical lesion: 2-year follow-up", J Periodontol, 84, pp.e1~e8 (2013)
  15. Santamaria MP, "Resin composite plus connective tissue graft to treat single maxillary gingival recession associated with non-carious cervical lesion : randomized clinical trial", J Clin Periodontol, 43, pp.461~468 (2016)
  16. Cairo F, "Coronally advanced flap and composite restoration of the enamel with or without connective tissue graft for the treatment of single maxillary gingival recession with non-carious cervical lesion. A randomized controlled clinical trial", J Clin Periodontol, 47, pp.362~371 (2020)
  17. Moher D, "Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement", Syst Rev, 4, pp.1~ (2015)
  18. Lang NP, "Periodontal health", J Clin Periodontol, 45(Suppl 20), pp.S9~S16 (2018)
  19. Bimstein E, "Morphological changes in the attached and keratinized gingiva and gingival sulcus in the mixed dentition period. A 5-year longitudinal study", J Clin Periodontol, 15, pp.175~179 (1988)
  20. Higgins JP, "Cochrane handbook for systematic reviews of interventions" (2019), John Wiley & Sons
  21. Lucchesi JA, "Coronally positioned flap for treatment of restored root surfaces : a 6-month clinical evaluation", J Periodontol, 78, pp.615~623 (2007)
  22. Santamaria MP, "Coronally positioned flap plus resin-modified glass ionomer restoration for the treatment of gingival recession associated with noncarious cervical lesions : a randomized controlled clinical trial", J Periodontol, 79, pp.621~628 (2008)
  23. Santamaria MP, "Cervical restoration and the amount of soft tissue coverage achieved by coronally advanced flap : a 2-year follow-up randomized-controlled clinical trial", J Clin Periodontol, 36, pp.434~441 (2009)
  24. Santamaria MP, "Connective tissue graft plus resin-modified glass ionomer restoration for the treatment of gingival recession associated with non-carious cervical lesion : a randomized-controlled clinical trial", J Clin Periodontol, 36, pp.791~798 (2009)
  25. Santamaria MP, "Treatment of single maxillary gingival recession associated with non-carious cervical lesion : randomized clinical trial comparing connective tissue graft alone to graft plus partial restoration", J Clin Periodontol, 45, pp.968~976 (2018)
  26. Dursun E, "Nanofilled and conventional resin-modified glass ionomer fillings combined with connective tissue grafts for treatment of gingival recessions with non-carious cervical lesions", J Oral Sci, 60, pp.344~351 (2018)
  27. Gharat MR, "Treatment of gingival recession associated with non-carious cervical lesions using resin modified glass ionomer cement with connective tissue graft a randomized controlled clinical trial", J Dent Mater Tech, 8, pp.85~94 (2019)
  28. Zucchelli G, "Clinical and anatomical factors limiting treatment outcomes of gingival recession : a new method to predetermine the line of root coverage", J Periodontol, 77, pp.714~721 (2006)
  29. Zucchelli G, "Predetermination of root coverage", J Periodontol, 81, pp.1019~1026 (2010)
  30. Isler SC, "Clinical evaluation of combined surgical", restorative treatment of gingival recession-type defects using different restorative materials: a randomized clinical trial, 2018, pp.13, 20~29
  31. Cairo F, "Root coverage esthetic score : a system to evaluate the esthetic outcome of the treatment of gingival recession through evaluation of clinical cases", J Periodontol, 80, pp.705~710 (2009)
  32. Alkan A, "Connective tissue grafting on resin ionomer in localized gingival recession", J Periodontol, 77, pp.1446~1451 (2006)
  33. Santamaria MP, "Gingival recession associated with noncarious cervical lesions : combined periodontal-restorative approach and the treatment of long-term esthetic complications", Gen Dent, 60, pp.306~311 (2012)
  34. 양성은, "A combined approach to non-carious cervical lesions associated with gingival recession", Restorative Dentistry and Endodontics, 41(3), pp.218~224 (2016), 대한치과보존학회
  35. Santos VR, "Effects of glass ionomer and microfilled composite subgingival restorations on periodontal tissue and subgingival biofilm : a 6-month evaluation", J Periodontol, 78, pp.1522~1528 (2007)
  36. Santamaria MP, "Connective tissue graft plus resin-modified glass ionomer restoration for the treatment of gingival recession associated with noncarious cervical lesions : microbiological and immunological results", Clin Oral Investig, 17, pp.67~77 (2013)
  37. Cairo F, "A technique to identify and reconstruct the cementoenamel junction level using combined periodontal and restorative treatment of gingival recession. A prospective clinical study", Int J Periodontics Restorative Dent, 30, pp.573~581 (2010)
  38. Zucchelli G, "Non-carious cervical lesions associated with gingival recessions : a decision-making process", J Periodontol, 82, pp.1713~1724 (2011)
  39. Perez LA, "Combination flap surgery with resin-modified glass ionomer for the treatment of radicular lesions : a long-term follow-up", Int J Periodontics Restorative Dent, 33, pp.825~832 (2013)
  40. Sharma V, "Cervical restoration and the amount of soft tissue coverage achieved by coronally advanced flap", J Adv Med Dent Sci Res, 7, pp.65~69 (2019)
  41. Santamaria MP, "The influence of local anatomy on the outcome of treatment of gingival recession associated with non-carious cervical lesions", J Periodontol, 81, pp.1027~1034 (2010)
  42. Santamaria MP, "Esthetic evaluation of different approaches to treat gingival recession associated with non-carious cervical lesion treatment : a 2-year follow-up", Am J Dent, 27, pp.220~224 (2014)
  43. Pourabbas R, "Clinical comparison of localized gingival recession coverage in root surfaces restored with giomer and intact root surfaces", Afr J Biotechnol, 10, pp.5893~5899 (2011)
  44. Zsuzsanna P, "Miller I–II ínyrecesszióval kombinált fognyaki léziók restauratív és sebészi ellátása – Randomizált, kontrollált klinikai vizsgálat 6 hónapos eredményei", Fogorv Sz, 110, pp.122~134 (2017)
  45. Rasperini G, "Predictor factors for long-term outcomes stability of coronally advanced flap with or without connective tissue graft in the treatment of single maxillary gingival recessions : 9 years results of a randomized controlled clinical trial", J Clin Periodontol, 45, pp.1107~1117 (2018)
  46. Holbrook T, "Complete coverage of the denuded root surface with a one-stage gingival graft", Int J Periodontics Restorative Dent, 3, pp.8~27 (1983)
  47. Araveti SK, "Swept-source optical coherence tomographic observation on prevalence and variations of cemento-enamel junction morphology", Lasers Med Sci, 35, pp.213~219 (2020)
  48. Chambrone L, "Root coverage procedures for treating single and multiple recession-type defects : an updated Cochrane systematic review", J Periodontol, 90, pp.1399~1422 (2019)
  49. Agossa K, "Does evidence support a combined restorative surgical approach for the treatment of gingival recessions associated with noncarious cervical lesions?", J Evid Based Dent Pract, 17, pp.226~238 (2017)

이 간행물의 다른 논문 (6건)

On the discrepancy between professionally assessed and patientreported outcome measuresFranz J. Strauss, Daniel S. Thomapp. 89-90Applying nano-HA in addition to scaling and root planing increases clinical attachment gainMustafa Tunalı, Gülbahar Ustaoğlu, Özge Uysal, Mustafa Behçet, Önder Albayrakpp. 116-126Differential gene expression profiles of periodontal soft tissue from rat teeth after immediate and delayed replantation: a pilot study채용권, 남옥형, 신서영, 최성철, 강상욱pp. 127-140A murine periodontitis model using coaggregation between human pathogens and a predominant mouse oral commensal bacterium최영님, Mengmeng Liupp. 141-154Insulin growth factor binding protein-3 enhances dental implant osseointegration against methylglyoxal-induced bone deterioration in a rat model장성일, 이호근, Jyoti Shrestha Takanche, 김지은pp. 155-169
원문 보기