Title : Clinical management of gingival recession associated with non carious cervical lesions
Abstract:
Gingival recession is an apical shift of the gingival margin with exposure of the root surface. In the majority of cases of gingival recession with cervical wear, there is no signs of the cementoenamel junction. Despite the involvement, restorations are selected as monotherapy to treat the underlying condition. The successful treatment of these combined defects demands perioplastic surgical procedures along with restoration. Perioplastic procedures may involve coronally positioned/tunnelling flaps with soft tissue substitute to cover the denuded root surfaces. To obtain functional and esthetic outcome, perioplastic procedures may be combined with partial or complete restoration of the non-carious cervical lesion, depending on the predictable line of root coverage and depth of the defect. Root coverage depends upon the amount of soft tissue and hard tissue, biotype, and extent of NCCL on the root surface. Several protocols have been demonstrated, but there is no consensus regarding the superiority of one procedure over another. This presentation will summarize the decision-making steps and current evidence of treatment of these combined defects in terms of clinical and patient-centred outcomes.

