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Volume 34 , Issue 5
September/October 2014
Pages 649–654

Treatment of Noncarious Cervical Lesions by a Subepithelial Connective Tissue Graft Versus a Composite Resin Restoration

Martin Leybovich, DDS, MSD/Nabil F. Bissada, DDS, MSD/Sorin Teich, DMD, MBA/Catherine A. Demko, MS, PhD/Paul A. Ricchetti, DDS, MScD

PMID: 25171035
DOI: 10.11607/prd.2033

This study compared two treatments for mild noncarious cervical lesions (NCCLs): a subepithelial connective tissue graft (CTG) versus a Class V composite resin restoration (CRR). Twenty-six sites with NCCLs were randomly assigned to be treated by CTG or CRR. Periodontal health parameters and dentinal hypersensitivity (DH) were recorded at baseline and 3 months postoperatively. Esthetics was also evaluated at 3 months. Results showed a significant improvement in all periodontal health parameters in the CTG treatment. The CTG treatment attained a mean 82% defect coverage with 75% of sites achieving complete coverage. Patients rated the CTG treatment to be significantly more esthetic (P = .03), while a clinician panel did not see an esthetic difference (P = .86). There was no difference in DH reduction between the two treatments (P = .81). In conclusion, the CTG treatment is superior to the CRR treatment for NCCLs based on periodontal health parameters. From a patient point of view, the CTG is the more esthetic treatment. (Int J Periodontics Restorative Dent 2014;34:649–654. doi: 10.11607/prd.2033)

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