Pink Resin as an Alternative for Restoration of Cervical Lesions Associated with Gingival Recession: a Case Report

AbstractGingival recession occurs when the gingival margin is located apically to the cementoenamel junction, causing root exposure. This work aims to report a clinical case of restorative treatment of multiple non-carious cervical lesions (NCCL´s) with gingival-colored resin, as an alternative approach of restorative procedure in cervical defects associated with gingival recession in the aesthetic area. A patient attended a Clinical-School complaining several NCCL´s in addition to Miller's class I gingival vestibular recession in the elements: 13, 21, 22 and 23. Dentin hypersensitivity was absent, however, aesthetic appearance bothered the patient. Presence of occlusal interferences, acid feeding and inadequate brushing habits were observed as important etiological factors for NCCL´s and gingival recessions. Periodontal surgery would be the treatment of choice, however, the patient needed orthodontic intervention first to promote dental alignment and correct distribution of the occlusal load. In order to decrease the progression of the lesions during the orthodontic treatment the NCCL´s associated with gingival recession were restored with gingival-colored resin. Two colors of pink composite resin (color G3 and G5) were incrementally inserted, promoting a correct emergence profile, taking the resin to the lower cavity limit avoiding aggression to the periodontal tissue. Clinical follow-up of 22 months was favorable due to the appearance of restorations and satisfactory periodontal health. Gingival resin can be assigned to improve the aesthetic effect of the restoration at a low cost and time-saving. Keywords: Gingival Recession. Tooth Wear. Composite Resins. ResumoA recessão gengival ocorre quando a margem gengival está localizada apicalmente à junção cemento-esmalte, causando exposição radicular. Este trabalho tem como objetivo relatar um caso clínico de tratamento restaurador de múltiplas lesões cervicais não cariosas (LCNC´s) com resina de cor gengival, como uma forma alternativa de procedimento restaurador em defeitos cervicais associados a recessão gengival em área estética. Uma paciente buscou atendimento odontológico em um centro especializado por apresentar várias lesões do tipo LCNC, além de recessão gengival vestibular classe I de Miller nos elementos: 13, 21, 22 e 23 que não apresentavam sensibilidade, porém eram lesões que a incomodava quanto ao fator estético. Foram observados importantes fatores etiológicos para as LCNC’s e recessões gengivais, como a oclusão desarmônica, alimentação ácida e hábitos de escovação inadequados. A cirurgia periodontal seria o tratamento de primeira escolha, contudo havia a necessidade de intervenção ortodôntica primeiramente para promover alinhamento dentário e correta distribuição das forças oclusais. Com o intuito de diminuir a progressão das lesões durante o tratamento ortodôntico optou-se por restaurar as LCNC´s associadas à recessão gengival com resina composta caracterizada para gengiva. Foram utilizadas 2 cores de resina rosa (G3 e G5) de forma incremental, até o limite inferior da cavidade, promovendo um correto perfil de emergência e evitando agressão aos tecidos periodontais. Acompanhamento clínico de 22 meses mostrou um aspecto favorável das restaurações assim como boa saúde periodontal. Dessa forma, a resina do tipo gengival pode ser indicada para melhorar o efeito estético da restauração a um baixo custo e rapidez no procedimento. Palavras-chave: Retração Gengival. Desgaste dos Dentes. Resinas Compostas.

Download Full-text

Direct-Indirect Technique Restoration for Non-Carious Cervical Lesions Treatment: a Case Report

Journal of Health Sciences ◽

10.17921/2447-8938.2021v23n2p131-135 ◽

2021 ◽

Vol 23 (2) ◽

pp. 131-135

Author(s):

Antônio Pedro de Souza Júnior ◽

Eric Felipe Saraiva Souto ◽

Silvério Almeida Souza Torres ◽

João Lima Rodrigues ◽

Danilo Cangussu Mendes

Keyword(s):

Case Report ◽

Tooth Wear ◽

Dentin Hypersensitivity ◽

Cervical Lesions ◽

Class V ◽

Restorative Treatment ◽

Direct Technique ◽

Maxillary Premolars ◽

Indirect Technique ◽

Composite Inlays

AbstractNon-Carious Cervical Lesions are characterized by slow and progressive loss of hard tissue at the level of enamel-cement junction, without bacterial involvement. This work aimed to address a case report of restorative treatment in Class V cavities in multiple premolars using the direct-indirect technique with composite resin. A 42 year-old male patient presented for esthetic restorative treatment with the complaint of severe dentin hypersensitivity and wedged-shaped non-carious cervical lesions affecting the maxillary premolars. The restorative treatment chosen was a direct-indirect technique with composite performed into three sessions as follows: making the class V composite inlays, cementation, and final polishing. The direct-indirect technique as an alternative to the traditional direct technique has the benefits of a better contour of the restoration, since the finishing and polishing are made extraorally. Besides, the control of the polymerization stress and less discomfort to the patient are other advantages. In the case of direct-indirect class V restoration, the advantages far surpass those of the direct technique. Keywords: Hypersensitivity. Tooth Wear. Composites Resins ResumoAs Lesões Cervicais Não Cariosas se caracterizam pela perda lenta e progressiva de tecido duro próximo a junção cemento-esmalte, sem envolvimento bacteriano. Este trabalho tem o objetivo de relatar um caso clínico de tratamento restaurador em cavidades do tipo Classe V em pré-molares pela técnica direta-indireta com resina composta. Paciente do sexo masculino, 42 anos, queixava-se de forte sensibilidade e múltiplas Lesões Cervicais Não Cariosas na forma de cunha nos pré-molares superiores. O tratamento restaurador escolhido foi a técnica direta-indireta com resina composta realizado em três sessões distribuídas em confecção da peça em resina composta, cimentação e polimento final. A técnica direta-indireta surge como alternativa a técnica direta tradicional trazendo como benefícios um melhor contorno da restauração, uma vez que esta é acabada e polida fora da boca, além do controle do estresse de polimerização e menor desconforto ao paciente. A intervenção restauradora direta-indireta se mostra eficaz devido ao fato de conseguir contornar dificuldades encontradas em técnicas restauradoras diretas. Palavras-chave: Hipersensibilidade. Desgaste dos Dentes. Resinas Compostas

Download Full-text

COMPOSITE RESTORATIONS IN DENTISTRY

Knowledge International Journal ◽

10.35120/kij3104879a ◽

2019 ◽

Vol 31 (4) ◽

pp. 879-882

Author(s):

Aleksandar Andreevski

Keyword(s):

Tooth Wear ◽

World Health ◽

Professional Literature ◽

Composite Restorations ◽

Aesthetic Appearance ◽

Direct Restoration ◽

High Ethic ◽

The Aesthetic ◽

Health Organization ◽

Physical And Chemical

The development of the dental hard tissue represents a process in which at the same time are happening physical and chemical changes. But, very often, during their everyday use, people are facing teeth disorders which open doors for thinking and possible procedures on how to bring them back to their original state thru regeneration or restoration. The purpose of this act is not only to please the aesthetic appearance, but the functional meaning of the tooth as well. Analysis of home and foreign professional literature of this field gives us to know that the reason for tooth restoration manifests in the shape of dental carries, trauma, tooth wear and genetic defects. A substantial meaning for the patients is the change of old filling due the discoloration that occurs on the composite restorations and the teeth, an aesthetic correction is needed in the shape of direct restoration. During recent years an upward trend is noticed in the use of indirect restoration technics realized with aid of dental laboratory on previously taken impression. Only thru a true proper education, dentists high ethic, and application of the standards of the World Health Organization can we maintain the fully developed tooth, and perform a proper restorative procedure when needed.

Download Full-text

An Analysis of the Etiological and Predisposing Factors Related to Dentin Hypersensitivity

The Journal of Contemporary Dental Practice ◽

10.5005/jcdp-9-5-52 ◽

2008 ◽

Vol 9 (5) ◽

pp. 52-59 ◽

Cited By ~ 18

Author(s):

Adeleke O. Oginni ◽

Cornelius T. Bamise ◽

Adeyemi O. Olusile

Keyword(s):

Clinical Evidence ◽

Management Strategies ◽

Gingival Recession ◽

Tooth Wear ◽

Predisposing Factors ◽

Dentin Hypersensitivity ◽

Causal Factors ◽

Etiological Factors ◽

Tactile Stimuli ◽

The Right

Abstract Aim To determine the prevalence of different etiological factors of dentin hypersensitivity in patients and to provide information on their association with dentin hypersensitivity. Methods and Materials Twenty-nine patients (17 male, 12 female) suffering from pain of dentin hypersensitivity were recruited to participate in the study. A relevant history was taken and dentin hypersensitivity confirmed by using air-blast and tactile stimuli. Results All patients were right-handed. The left side of the mouth showed a preponderance of gingival recession, abrasion, abfraction, and erosion while more teeth on the right side showed attrition. Gingival recession and attrition were common among the molars, abrasions among the molars and premolars, abfraction among the premolars, while erosive lesions were predominantly found among the incisors. A total of 911 teeth were examined in the 29 subjects presenting with dentin hypersensitivity. The following conditions were found to be associated with the dentin hypersensitivity: 43 of 117 teeth (36.8%) with gingival recession; 41 of 99 teeth (41.4%) with attrition; 40 of 67 teeth (59.7%) with abrasion; 16 of 25 teeth (64%) with abfraction; and 32 teeth had erosive lesions all associated with hypersensitivity. Conclusion Gingival recessions followed by attrition were the most commonly found etiological factors leading to dentin hypersensitivity. Erosive lesions were mostly associated with dentin hypersensitivity. A statistically significant relationship exists between dentin hypersensitivity, tooth wear lesions, and gingival recession. Clinical Significance This study provides clinical evidence supporting the notion of dentin hypersensitivity being a tooth wear phenomenon. Therefore, successful preventive and management strategies for sufferers of dentin hypersensitivity must take into consideration causal factors for tooth wear and gingival recession. Citation Bamise CT, Olusile AO, Oginni AO. An Analysis of the Etiological and Predisposing Factors Related to Dentin Hypersensitivity. J Contemp Dent Pract 2008 July; (9)5:052-059.

Download Full-text

Prevalence of non-carious cervical lesions and cervical dentinary hypersensitivity in undergraduate students

Revista de Odontologia da UNESP ◽

10.1590/1807-2577.05121 ◽

2021 ◽

Vol 50 ◽

Author(s):

João Victor Dias CRISÓSTOMO ◽

Bruna Oliveira BEZERRA ◽

Mariana Garcia da Ponte MELO ◽

Polyanna Maria ROCHA-NOVAIS ◽

Maria Denise Rodrigues de MORAES

Keyword(s):

Undergraduate Students ◽

Gingival Recession ◽

Oral Disease ◽

Dentin Hypersensitivity ◽

Cervical Lesions ◽

Chi Square ◽

Google Docs ◽

Factors Associated ◽

Chi Square Test ◽

The Relationship

Abstract Introduction The non-carious cervical lesion (NCCL) is currently a common oral disease. Objective This observational and descriptive study aimed to assess risk factors associated with non-carious cervical lesions, cervical dentin hypersensitivity (CDH), gingival recession (GR) and the relationship between these conditions in students in the last years of undergraduate dentistry. Material and method One hundred eighty-five dentistry students from a private college in Ceará with an average of 22.7 ± 2.3 years participated by filling out a google docs form. Two calibrated examiners performed the exams to verify the presence of NCCL, CDH and RG. Result The presence of NCCL was 22.7%, GR was 48.1% and cervical dentin hypersensitivity 8.6%. The chi-square test with p < 0.05% verified a correlation between the presence of NCCL and the presence of GR and CDH. 25% of students had NCCL and 14% considered themselves stressed. There was no association between the variables bruxism and stress (p=0.529), bruxism and year of graduation course (p=0.716), as well as no association between stress and year of course (p = 0.397) was observed. There were no correlations between NCCL and bruxism, muscle symptoms, parafunctional habits and temporomandibular dysfunction. 10.8% of students who reported using legal and illegal drugs had NCCL. Conclusion The NCCL, GR and CDH were correlated in the group of students in the last two years of an undergraduate dentistry course in Ceará.

Download Full-text

Relationship between noncarious cervical lesions, cervical dentin hypersensitivity, gingival recession, and associated risk factors: A cross-sectional study

Journal of Dentistry ◽

10.1016/j.jdent.2018.06.017 ◽

2018 ◽

Vol 76 ◽

pp. 93-97 ◽

Cited By ~ 16

Author(s):

Daniela Navarro Ribeiro Teixeira ◽

Livia Fávaro Zeola ◽

Alexandre Coelho Machado ◽

Rafaella Rodrigues Gomes ◽

Paola Gomes Souza ◽

...

Keyword(s):

Risk Factors ◽

Gingival Recession ◽

Cross Sectional Study ◽

Dentin Hypersensitivity ◽

Sectional Study ◽

Cervical Lesions ◽

Cross Sectional ◽

Associated Risk Factors

Download Full-text

EVALUATION OF CERVICAL WEAR AND OCCLUSAL WEAR IN SUBJECTS WITH CHRONIC PERIODONTITIS - A CROSS SECTIONAL STUDY

Journal of Health and Allied Sciences NU ◽

10.1055/s-0040-1703790 ◽

2014 ◽

Vol 04 (03) ◽

pp. 004-007

Author(s):

Shwethashri R Permi ◽

Rahul Bhandary ◽

Biju Thomas

Keyword(s):

Chronic Periodontitis ◽

Gingival Recession ◽

Tooth Wear ◽

Cross Sectional Study ◽

Cervical Lesions ◽

Cross Sectional ◽

Anterior Teeth ◽

Occlusal Wear ◽

Combined Action

AbstractTooth wear (attrition, erosion and abrasion) is perceived internationally as a growing problem. The loss of tooth substance at the cemento- enamel junction because of causes other than dental caries has been identified as non-carious cervical lesions (NCCLs) or cervical wear. NCCLs can lead to hypersensitivity, plaque retention, pulpal involvement, root fracture and aesthetic problems.Hence study was done to evaluate association of cervical wear with occlusal wear from clinical periodontal prospective in individuals with chronic periodontitis. Periodontal parameters like plaque index, gingival index, gingival recession and tooth mobility were assessed. The levels of cervical wear and occlusal wear were determined according to tooth wear index. Premolars were more likely to develop cervical wear than anterior teeth (incisors, canines) and molars. In conclusion, the significant association of cervical wear with the periodontal status suggested the role of abrasion and its possible combined action of erosion in the etiology of NCCLs.

Download Full-text

Non-Carious Cervical Lesions and risk factors in Brazilian athletes: A cross sectional study

Research Society and Development ◽

10.33448/rsd-v10i9.17859 ◽

2021 ◽

Vol 10 (9) ◽

pp. e57210917859

Author(s):

Andrea Barros Tolentino ◽

Livia Fávaro Zeola ◽

Alexandre Coelho Machado ◽

Paulo Vinicius Soares ◽

Ana Cecilia Correa Aranha ◽

...

Keyword(s):

Risk Factors ◽

Prevalence Ratio ◽

Gingival Recession ◽

Cross Sectional Study ◽

Dentin Hypersensitivity ◽

Cervical Lesions ◽

Cross Sectional ◽

Training Time ◽

Sport Training ◽

Acid Diet

Objective: This study aimed to evaluate the prevalence of Noncarious Cervical Lesions (NCCL), Cervical Dentin Hypersensitivity (CDH) and Gingival Recession (GR) and their associated risk factors in athletes. Methodology: A questionnaire was used to obtain basic information. An evaluator clinically examined all subjects. Statistical analysis was performed using Poisson multiple regression with robust variance, and the prevalence ratio and confidence intervals (95%) were calculated. Results: The final sample consisted of 264 athletes of different sports (7285 teeth). The present study found that the type of sport and weekly training time are important factors. Athlete’s ages ranged from 17 to 46 years (mean: 20.33 years). Majority of the athletes were males (90.46%). The teeth most affected by NCCL were the first upper premolars (29.35%), and the prevalence of NCCL increased with age. The prevalence of NCCL, CDH, and GR was 17.42%, 35.35%, and 59.09%, respectively. The linear regression shows that the most important risk factor(s) for NCCL was age, training hours, stress, excessive brushing force and orthodontic appliance; for CDH were age, education, type of sport, training hours and acid diet; and for GR were age, income, education, type of sport and excessive teeth brushing. Conclusion: It must be understood that the presence of all elements are factors capable of destabilizing the athlete's daily life. Athletes have risk factors that are closely related to the onset and progression of the disease. It is necessary that the dentist knows prevention and minimization measures.

Download Full-text

Fifteen-Year Follow-Up of a Case of Surgical Retreatment of a Single Gingival Recession

Case Reports in Dentistry ◽

10.1155/2018/3735162 ◽

2018 ◽

Vol 2018 ◽

pp. 1-5

Author(s):

Luca Francetti ◽

Silvio Taschieri ◽

Nicolò Cavalli ◽

Stefano Corbella

Keyword(s):

Case Report ◽

Fibrous Tissue ◽

Gingival Recession ◽

Scar Formation ◽

Coronally Advanced Flap ◽

Aesthetic Appearance ◽

Microsurgical Approach ◽

Term Evaluation ◽

Subepithelial Connective Tissue Graft ◽

The Aesthetic

Purpose. The aim of the present case report was to describe the retreatment of the single gingival recession in aesthetic area, in the presence of scar formation and consequent impairment of aesthetic appearance. Methods. A young patient with one single recession of 4 mm of 2.1 was treated with coronally advanced flap and subepithelial connective tissue graft, through a microsurgical approach that aimed at the removal of the scarred fibrous tissue. The intervention was performed using a surgical microscope as a magnification device. Results. Fifteen years after the surgical treatment, a substantial stable resolution of the gingival recession could be observed. Moreover, a further improvement of the aesthetic appearance could be observed. Conclusions. This case report suggests that periodontal microsurgery could be an effective approach for the retreatment of gingival recessions and, in long-term evaluation, to reduce the aesthetic problem due to the presence of scar formation. Further studies with a larger sample size are needed to better evaluate its efficacy.

Download Full-text

Generation of High-Yield, Functional Oligodendrocytes from a c-myc Immortalized Neural Cell Line, Endowed with Staminal Properties

International Journal of Molecular Sciences ◽

10.3390/ijms22031124 ◽

2021 ◽

Vol 22 (3) ◽

pp. 1124

Author(s):

Mafalda Giovanna Reccia ◽

Floriana Volpicelli ◽

Eirkiur Benedikz ◽

Åsa Fex Svenningsen ◽

Luca Colucci-D’Amato

Keyword(s):

Cell Line ◽

Low Cost ◽

Neural Cell ◽

New Drugs ◽

High Yield ◽

Time Saving ◽

Interacting Protein ◽

Neuronal Marker ◽

Differentiation Status

Neural stem cells represent a powerful tool to study molecules involved in pathophysiology of Nervous System and to discover new drugs. Although they can be cultured and expanded in vitro as a primary culture, their use is hampered by their heterogeneity and by the cost and time needed for their preparation. Here we report that mes-c-myc A1 cells (A1), a neural cell line, is endowed with staminal properties. Undifferentiated/proliferating and differentiated/non-proliferating A1 cells are able to generate neurospheres (Ns) in which gene expression parallels the original differentiation status. In fact, Ns derived from undifferentiated A1 cells express higher levels of Nestin, Kruppel-like factor 4 (Klf4) and glial fibrillary protein (GFAP), markers of stemness, while those obtained from differentiated A1 cells show higher levels of the neuronal marker beta III tubulin. Interestingly, Ns differentiation, by Epidermal Growth Factors (EGF) and Fibroblast Growth Factor 2 (bFGF) withdrawal, generates oligodendrocytes at high-yield as shown by the expression of markers, Galactosylceramidase (Gal-C) Neuron-Glial antigen 2 (NG2), Receptor-Interacting Protein (RIP) and Myelin Basic Protein (MBP). Finally, upon co-culture, Ns-A1-derived oligodendrocytes cause a redistribution of contactin-associated protein (Caspr/paranodin) protein on neuronal cells, as primary oligodendrocytes cultures, suggesting that they are able to form compact myelin. Thus, Ns-A1-derived oligodendrocytes may represent a time-saving and low-cost tool to study the pathophysiology of oligodendrocytes and to test new drugs.

Download Full-text

Alternative Rubber Dam Isolation Technique for the Restoration of Class V Cervical Lesions

Operative Dentistry ◽

10.2341/05-12 ◽

2006 ◽

Vol 31 (2) ◽

pp. 277-280 ◽

Cited By ~ 4

Author(s):

B. M. Owens

Keyword(s):

Clinical Relevance ◽

Cervical Lesions ◽

Time Saving ◽

Class V ◽

Isolation Technique ◽

Restorative Treatment ◽

Rubber Dam

Clinical Relevance This isolation technique is a time-saving dental rubber dam placement alternative for the restorative treatment of Class V cervical lesions.

Download Full-text