Treatment efficacy of gingival recession defects associated with non-carious cervical lesions: a systematic review.

PURPOSE: This systematic review aimed to compare the efficacy, defined in terms of the mean percentage of root coverage (mRC), of surgical treatment approaches combined with adhesive restorations of non-carious cervical lesions (NCCLs) to that of root coverage alone in patients with a single gingival recession (GR) and NCCL. METHODS: A literature search was conducted to identify longitudinal studies reporting the mRC following treatment for the correction of GR defects associated with NCCLs using a combination of surgical and restorative techniques in systemically and periodontally healthy patients. RESULTS: The search resulted in the retrieval of 12,409 records. Seven publications met the inclusion criteria for the qualitative synthesis of data. The mRCs ranged from 69% to 97%. In the medium term, the gingival margin position was more stable when a connective tissue graft (CTG) was used, independently of whether restoration of teeth with NCCLs was performed. CONCLUSIONS: The strength of the evidence was limited by methodological heterogeneity in terms of study design as well as the unit and period of analysis, which precluded a meta-analysis. Although no definitive conclusion could be drawn due to the lack of sufficient evidence to estimate the effectiveness of the interventions, CTG-based procedures contributed to gingival margin stability regardless of the performance of restoration to treat NCCLs.

Factors Influencing the Presence of Papilla between Adjacent Implants and between a Tooth and an Implant.

AIM: The aim this study was to evaluate the factors that influence the presence or absence of the interproximal papilla between implants adjacent to the teeth or other implants, through clinical and radiographic evaluation. MATERIAL AND METHODS: The non-probabilistic sample comprised 44 patients of both genders aged between 21 and 68 years, rehabilitated with 114 osseointegrated implants. Through a retrospective clinical study, the patients were divided according to the presence or absence of the interproximal papilla: Group 1 - Absence of Papilla, Group 2 - Partial Presence of Papilla and Group 3 - Total Presence of Papilla. The success of the implants, the periodontal biotype, and the vertical and horizontal distances of the interproximal regions included in the study were evaluated. RESULTS: Of the 114 implants, 46.5% were considered unsuccessful, and bleeding was present in 29.8%. The periodontal biotype presented as thin and scalloped was found in 85.1% of the regions. The evaluation of the groups according to the confirmation of the interproximal space showed a statistically significant difference (p = 0.007), with 61.9% of the wide and long interproximal spaces classified as Group 1, while 31% of the narrow and short interproximal spaces were classified as Group 3. CONCLUSION: It was concluded that the morphology of the interproximal space was the factor that was most strongly associated with the presence or absence of the interproximal papilla.

Expectativas dos estudantes de Odontologia quanto ao futuro profissional / Dental student's expectations regarding their professional future in dentistry

Este trabalho teve por objetivo conhecer as expectativas, projetos profissionais e projeções de êxito nas atividades laborais futuras dos estudantes de odontologia da Universidade Federal de Pernambuco. O estudo foi realizado no âmbito da própria universidade, nas dependências do curso de odontologia. A população de estudo foi de estudantes do 1º período diurno e noturno (n=43), 5º período (n=41) e 10º período (n=21). A maioria dos estudantes entrevistados consistia de jovens, solteiros (99%) e do sexo feminino (65,7%), com renda familiar de até R$ 5.100,00 ao mês (80,9%). Observou-se que 83,8% optaram por estudar odontologia por se identificar com a profissão. Os alunos também reconheceram o padrão de qualidade das Instituições Federais de Ensino Superior e este foi o motivo de escolha pela universidade (74,3%). Não houve diferenças quanto a ingressar futuramente no mercado laboral público ou privado, sendo ambas opções viáveis na concepção dos entrevistados. A promoção de saúde foi o fator relatado como principal fonte de realização profissional (71,4%), especialmente para os alunos de períodos iniciais do curso (p=0,026). A estimativa inicial de renda está dentro dos limites de renda familiar atual da maioria dos entrevistados (59%) e 98,1% pretendem fazer curso de pós-graduação, tendo nas especializações o objetivo mais comum (78,6%). Especialidades como cirurgia bucomaxilofacial, ortodontia e implantodontia serão as mais procuradas (AU).

This study aimed to know the expectations, professional projects and projections of success in the work activities of dental students from the Federal University of Pernambuco. The study population consisted of dental students from 1st daytime and nighttime periods (N = 43), 5th period (N = 41) and 10th period (N = 21). Most students interviewed were young, unmarried (99%) and female (65.7%), having a family income of up to R$ 5,100.00 per month (80.9%). We found that 83.8% of them chose to study dentistry because they felt identified with the profession. Students also recognized the quality standard of Federal Institutions of Higher Education and this was the reason for choosing the university (74.3%). There were no differences regarding to join the public or private labor markets in the future, being both viable options. Health promotion was reported as the main source of job satisfaction (71.4%), especially for students from early periods of the course (p=0.026). The initial estimate of income is within the limits of current family income for the majority of respondents (59%). Of respondents, 98.1% plan to join a postgraduate course and specializations was the most common goal (78.6%). Specialties such oral and maxillofacial surgery, orthodontics and implantology are most sought (AU).