Evaluation of a novel restorative protocol to treat non-carious cervical lesion associated with gingival recession: a 2-year follow-up randomized clinical trial

Objective To compare 2 different resin composites and 2 adhesive systems used in a new restorative protocol (partial restoration) to treat non-carious cervical lesions associated with gingival recession type 1 (RT1). Material and methods Eighty combined defects (CDs) were treated with a partial rest...

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Veröffentlicht in:Clinical oral investigations 2023-04, Vol.27 (4), p.1781-1792
Hauptverfasser: Mathias-Santamaria, Ingrid Fernandes, Santamaria, Mauro Pedrine, Silveira, Camila Augusto, Martinho, Frederico Canato, de Melo, Mary Anne Sampaio, De Marco, Andrea Carvalho, Augusto, Marina Gullo, de Andrade, Guilherme Schmitt, Roulet, Jean-François, Bresciani, Eduardo
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container_end_page 1792
container_issue 4
container_start_page 1781
container_title Clinical oral investigations
container_volume 27
creator Mathias-Santamaria, Ingrid Fernandes
Santamaria, Mauro Pedrine
Silveira, Camila Augusto
Martinho, Frederico Canato
de Melo, Mary Anne Sampaio
De Marco, Andrea Carvalho
Augusto, Marina Gullo
de Andrade, Guilherme Schmitt
Roulet, Jean-François
Bresciani, Eduardo
description Objective To compare 2 different resin composites and 2 adhesive systems used in a new restorative protocol (partial restoration) to treat non-carious cervical lesions associated with gingival recession type 1 (RT1). Material and methods Eighty combined defects (CDs) were treated with a partial restoration and periodontal plastic surgery for root coverage. The CDs were randomly assigned to one of the following groups: NP + TE ( n  = 20), nanofilled composite and 2-step total-etch adhesive system; NP + UA ( n  = 20), nanofilled composite and universal adhesive system; MH + TE ( n  = 20), microhybrid composite and 2-step total-etch adhesive; MH + UA ( n  = 20), microhybrid composite and universal adhesive. Restorations were assessed using the United States Public Health Service (USPHS) criteria at 1 week (baseline) and 6, 12, and 24 months. Survival rate, periodontal parameters, dentin hypersensitivity (DH), and aesthetics were also evaluated. Results After 24 months, only the MH + TE group did not lose any restoration, with no significant differences between groups. For surface roughness parameter, MH presented 83.3% of the restorations scoring Bravo, whereas NP presented 48.5% of the restorations scoring Bravo. All groups presented restorations with marginal discoloration. All periodontal parameters behaved similarly, regardless of the restorative material. All groups presented significant reductions of dentin hypersensitivity and improved aesthetic perceptions ( p  
doi_str_mv 10.1007/s00784-022-04806-1
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Material and methods Eighty combined defects (CDs) were treated with a partial restoration and periodontal plastic surgery for root coverage. The CDs were randomly assigned to one of the following groups: NP + TE ( n  = 20), nanofilled composite and 2-step total-etch adhesive system; NP + UA ( n  = 20), nanofilled composite and universal adhesive system; MH + TE ( n  = 20), microhybrid composite and 2-step total-etch adhesive; MH + UA ( n  = 20), microhybrid composite and universal adhesive. Restorations were assessed using the United States Public Health Service (USPHS) criteria at 1 week (baseline) and 6, 12, and 24 months. Survival rate, periodontal parameters, dentin hypersensitivity (DH), and aesthetics were also evaluated. Results After 24 months, only the MH + TE group did not lose any restoration, with no significant differences between groups. For surface roughness parameter, MH presented 83.3% of the restorations scoring Bravo, whereas NP presented 48.5% of the restorations scoring Bravo. All groups presented restorations with marginal discoloration. All periodontal parameters behaved similarly, regardless of the restorative material. All groups presented significant reductions of dentin hypersensitivity and improved aesthetic perceptions ( p  &lt; 0.05). Conclusion Both resin composites and adhesives tested can be combined for partial restorations to treat CDs. Clinical relevance This new restorative-surgical protocol to treat CDs presents satisfactory outcomes. The partial restorations can be successfully executed with both combinations of adhesives and resin composites evaluated in this investigation. TRN ClinicalTrial.gov: NCT03215615; registration date July 12, 2017.</description><identifier>ISSN: 1436-3771</identifier><identifier>ISSN: 1432-6981</identifier><identifier>EISSN: 1436-3771</identifier><identifier>DOI: 10.1007/s00784-022-04806-1</identifier><identifier>PMID: 36462038</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adhesives ; Aesthetics ; Clinical Protocols ; Clinical trials ; Composite materials ; Composite Resins ; Dental Cements ; Dental Marginal Adaptation ; Dental Restoration, Permanent - methods ; Dentin ; Dentin Sensitivity - therapy ; Dentistry ; Esthetics, Dental ; Follow-Up Studies ; Gingival Recession - surgery ; Humans ; Hypersensitivity ; Medicine ; Public health ; Resin Cements ; Tooth Cervix - pathology</subject><ispartof>Clinical oral investigations, 2023-04, Vol.27 (4), p.1781-1792</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2022. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-97ae7f4edec8563bf50778e3c7445b4a11fc5bae4f5211622183549d1220466a3</citedby><cites>FETCH-LOGICAL-c375t-97ae7f4edec8563bf50778e3c7445b4a11fc5bae4f5211622183549d1220466a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00784-022-04806-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00784-022-04806-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,27929,27930,41493,42562,51324</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36462038$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mathias-Santamaria, Ingrid Fernandes</creatorcontrib><creatorcontrib>Santamaria, Mauro Pedrine</creatorcontrib><creatorcontrib>Silveira, Camila Augusto</creatorcontrib><creatorcontrib>Martinho, Frederico Canato</creatorcontrib><creatorcontrib>de Melo, Mary Anne Sampaio</creatorcontrib><creatorcontrib>De Marco, Andrea Carvalho</creatorcontrib><creatorcontrib>Augusto, Marina Gullo</creatorcontrib><creatorcontrib>de Andrade, Guilherme Schmitt</creatorcontrib><creatorcontrib>Roulet, Jean-François</creatorcontrib><creatorcontrib>Bresciani, Eduardo</creatorcontrib><title>Evaluation of a novel restorative protocol to treat non-carious cervical lesion associated with gingival recession: a 2-year follow-up randomized clinical trial</title><title>Clinical oral investigations</title><addtitle>Clin Oral Invest</addtitle><addtitle>Clin Oral Investig</addtitle><description>Objective To compare 2 different resin composites and 2 adhesive systems used in a new restorative protocol (partial restoration) to treat non-carious cervical lesions associated with gingival recession type 1 (RT1). Material and methods Eighty combined defects (CDs) were treated with a partial restoration and periodontal plastic surgery for root coverage. The CDs were randomly assigned to one of the following groups: NP + TE ( n  = 20), nanofilled composite and 2-step total-etch adhesive system; NP + UA ( n  = 20), nanofilled composite and universal adhesive system; MH + TE ( n  = 20), microhybrid composite and 2-step total-etch adhesive; MH + UA ( n  = 20), microhybrid composite and universal adhesive. Restorations were assessed using the United States Public Health Service (USPHS) criteria at 1 week (baseline) and 6, 12, and 24 months. Survival rate, periodontal parameters, dentin hypersensitivity (DH), and aesthetics were also evaluated. Results After 24 months, only the MH + TE group did not lose any restoration, with no significant differences between groups. For surface roughness parameter, MH presented 83.3% of the restorations scoring Bravo, whereas NP presented 48.5% of the restorations scoring Bravo. All groups presented restorations with marginal discoloration. All periodontal parameters behaved similarly, regardless of the restorative material. All groups presented significant reductions of dentin hypersensitivity and improved aesthetic perceptions ( p  &lt; 0.05). Conclusion Both resin composites and adhesives tested can be combined for partial restorations to treat CDs. Clinical relevance This new restorative-surgical protocol to treat CDs presents satisfactory outcomes. The partial restorations can be successfully executed with both combinations of adhesives and resin composites evaluated in this investigation. 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Santamaria, Mauro Pedrine ; Silveira, Camila Augusto ; Martinho, Frederico Canato ; de Melo, Mary Anne Sampaio ; De Marco, Andrea Carvalho ; Augusto, Marina Gullo ; de Andrade, Guilherme Schmitt ; Roulet, Jean-François ; Bresciani, Eduardo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-97ae7f4edec8563bf50778e3c7445b4a11fc5bae4f5211622183549d1220466a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adhesives</topic><topic>Aesthetics</topic><topic>Clinical Protocols</topic><topic>Clinical trials</topic><topic>Composite materials</topic><topic>Composite Resins</topic><topic>Dental Cements</topic><topic>Dental Marginal Adaptation</topic><topic>Dental Restoration, Permanent - methods</topic><topic>Dentin</topic><topic>Dentin Sensitivity - therapy</topic><topic>Dentistry</topic><topic>Esthetics, Dental</topic><topic>Follow-Up Studies</topic><topic>Gingival Recession - surgery</topic><topic>Humans</topic><topic>Hypersensitivity</topic><topic>Medicine</topic><topic>Public health</topic><topic>Resin Cements</topic><topic>Tooth Cervix - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mathias-Santamaria, Ingrid Fernandes</creatorcontrib><creatorcontrib>Santamaria, Mauro Pedrine</creatorcontrib><creatorcontrib>Silveira, Camila Augusto</creatorcontrib><creatorcontrib>Martinho, Frederico Canato</creatorcontrib><creatorcontrib>de Melo, Mary Anne Sampaio</creatorcontrib><creatorcontrib>De Marco, Andrea Carvalho</creatorcontrib><creatorcontrib>Augusto, Marina Gullo</creatorcontrib><creatorcontrib>de Andrade, Guilherme Schmitt</creatorcontrib><creatorcontrib>Roulet, Jean-François</creatorcontrib><creatorcontrib>Bresciani, Eduardo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; 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Material and methods Eighty combined defects (CDs) were treated with a partial restoration and periodontal plastic surgery for root coverage. The CDs were randomly assigned to one of the following groups: NP + TE ( n  = 20), nanofilled composite and 2-step total-etch adhesive system; NP + UA ( n  = 20), nanofilled composite and universal adhesive system; MH + TE ( n  = 20), microhybrid composite and 2-step total-etch adhesive; MH + UA ( n  = 20), microhybrid composite and universal adhesive. Restorations were assessed using the United States Public Health Service (USPHS) criteria at 1 week (baseline) and 6, 12, and 24 months. Survival rate, periodontal parameters, dentin hypersensitivity (DH), and aesthetics were also evaluated. Results After 24 months, only the MH + TE group did not lose any restoration, with no significant differences between groups. For surface roughness parameter, MH presented 83.3% of the restorations scoring Bravo, whereas NP presented 48.5% of the restorations scoring Bravo. All groups presented restorations with marginal discoloration. All periodontal parameters behaved similarly, regardless of the restorative material. All groups presented significant reductions of dentin hypersensitivity and improved aesthetic perceptions ( p  &lt; 0.05). Conclusion Both resin composites and adhesives tested can be combined for partial restorations to treat CDs. Clinical relevance This new restorative-surgical protocol to treat CDs presents satisfactory outcomes. The partial restorations can be successfully executed with both combinations of adhesives and resin composites evaluated in this investigation. TRN ClinicalTrial.gov: NCT03215615; registration date July 12, 2017.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>36462038</pmid><doi>10.1007/s00784-022-04806-1</doi><tpages>12</tpages></addata></record>
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subjects Adhesives
Aesthetics
Clinical Protocols
Clinical trials
Composite materials
Composite Resins
Dental Cements
Dental Marginal Adaptation
Dental Restoration, Permanent - methods
Dentin
Dentin Sensitivity - therapy
Dentistry
Esthetics, Dental
Follow-Up Studies
Gingival Recession - surgery
Humans
Hypersensitivity
Medicine
Public health
Resin Cements
Tooth Cervix - pathology
title Evaluation of a novel restorative protocol to treat non-carious cervical lesion associated with gingival recession: a 2-year follow-up randomized clinical trial
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