Minimal intervention dentistry: part 5. Ultra-conservative approach to the treatment of erosive and abrasive lesions.

The therapeutic management of tooth wear lesions does not require the removal of diseased tissue. Nevertheless, diverse etiological factors may be associated with the condition and they could be difficult to eliminate; this has to be considered when planning therapy. Interceptive procedures should be reserved for such situations while regular monitoring is recommended for other cases, in accordance with advice provided for using the Basic Erosive Wear Examination (BEWE). Direct and indirect adhesive procedures with composite resins allow treatment of most clinical situations, including even extensive restorations. The possibility of managing subsequent interventions should be considered when planning the initial therapeutic approach.

Revisión de la literatura: lesiones cervicales no cariogénicas / Noncarious cervical lesions: a review

La pérdida de tejido dental en la región cervical ha sido comúnmente atribuida a la abrasión que produce el cepillado y a la erosión. Sin embargo, el papel de las fuerzas oclusales es, desde hace ya unos años, un factor a tener en cuenta en el desarrollo de estas lesiones cervicales. Distinguir las diferentes entidades que conducen a la génesis de estos defectos y sus posibles interrelaciones permitirá una mejoría en la prevención, el tratamiento y seguimiento de todos nuestros pacientes (AU)

The loss of dental tissue in the cervical area has been commonly attributed to abrasion caused by the brushing and erosion. However, during recent years, the role of the occlusal forces is a factor to take into account when these cervical injures develops. Determining the different entities that lead to the genesis of these defects and their possible interrelations will allow an improvement in the prevention, the treatment and monitoring of all our patients (AU)

Bilaminar technique in the treatment of a deep cervical abrasion defect.

New materials (restorative and adhesive) for the treatment of cervical abrasions have produced better results in terms of esthetics (choice and stability of colors) and duration (marginal fit and wear resistance). Nevertheless, conservative restoration of cervical abrasion cannot be considered the most suitable treatment in certain clinical situations: (1) when the abrasion defect involves the root surface, either exclusively or primarily; (2) when a site has difficult esthetic demands resulting from excessive tooth length with gingival recession; and (3) in the presence of root caries. The aim of this case report is to describe the application of the bilaminar technique to treat a deep cervical abrasion associated with a recession-type defect. The bilaminar surgical approach shown here consisted of a connective tissue graft covered by a coronally advanced pedicle flap. The connective tissue graft was placed inside the root concavity to compensate the abrasion space and to prevent soft tissue flap collapse internally. The graft, by acting as a "biologic filler" or space maintainer inside the concave abrasion area, stabilized the covering flap and helped restore a correct tooth emergence profile.

Periodontics: 5. Surgical crown lengthening.

UNLABELLED: The surgical crown lengthening procedures are usually used to facilitate the restoration of teeth with poor retentive properties. These techniques can also be applied to the management of aesthetic gingival problems. CLINICAL RELEVANCE: It is important that the need for crown lengthening procedures is evaluated before any complex restorative treatments are carried out.

Periodontal surgery and glass ionomer restoration in the treatment of gingival recession associated with a non-carious cervical lesion: report of three cases.

BACKGROUND: Buccal gingival recession is a prevalent problem in populations with a high standard of oral hygiene and is very often associated with a non-carious cervical lesion, complicating treatment. The purpose of this report is to show three cases treated by an integrated periodontal and restorative dentistry approach. METHODS: Three patients with Miller Class I gingival recessions associated with non-carious cervical lesions were enrolled for treatment. One patient received a coronally positioned flap and a resin-modified glass ionomer restoration, and two patients were treated with a coronally positioned flap, resin-modified glass ionomer restoration, and connective tissue graft. Probing depth (PD), relative gingival recession (RGR), and clinical attachment level (CAL) were measured at baseline and at 6 and 8 months after surgery. RESULTS: After the healing period, all patients showed CAL gain and reduction in RGR. No difference was observed on PDs compared to baseline. No signs of gingival inflammation or bleeding on probing were seen. The patients were satisfied with the final esthetics and had no more dentin hypersensitivity. CONCLUSION: This report indicates that teeth with Miller Class I gingival recessions associated with non-carious cervical lesions can be successfully treated by an integrated periodontal and restorative dentistry approach; however, longitudinal randomized controlled clinical trials must be performed to support this approach.

Soft tissue root coverage as treatment for cervical abrasion and caries.

Root exposure caused by gingival recession may result in cervical abrasion, root caries, root sensitivity, and compromised esthetics. Although cervical root lesions can be treated with Class V restorations, there may be advantages in treating them with soft tissue grafts for root coverage since they restore the dento-gingival unit to its prerecession condition. The rationale for root coverage with soft tissue grafts is reviewed and two cases are presented of successful root coverage procedures in which gingival recession associated with cervical abrasion and caries was present.

Tooth surface loss. 11. Surgical crown lengthening.

Restoration of worn teeth can be made easier by surgical crown lengthening. It improves appearance and facilitates tooth preparation. Anatomical features can limit the height that can be gained.

Dental corrective procedures.

This article explains what is needed for successful extraction of diseased cheek teeth and how to realign the occlusal surface. Incisor teeth procedures and correcting abnormalities of cheek tooth crown wear are also discussed along with wolf and floating teeth.