An interdisciplinary approach for the management of noncarious lesions

Miller's class III gingival recession is a common entity observed in individuals, posing a difficult situation for the clinicians to treat. Large fenestration defects with cervical abrasion compromise the esthetics resulting in poor prognosis. Obtaining predictable and esthetic root coverage ha...

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Bibliographic Details
Published in:Journal of Indian Society of Periodontology 2016-03, Vol.20 (2), p.211-215
Main Authors: Purushotham, Sahana, Manjunath, Nandini, D'Souza, Melba, Shetty, Roshan
Format: Article
Language:English
Subjects:
Autograft
bone graft
Care and treatment
Case Report
Case studies
Cervical cancer
Diagnosis
Disease management
fenestration
gingival recession
Mouth
Odontology
Oral diseases
restorations
Tissues
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Summary:Miller's class III gingival recession is a common entity observed in individuals, posing a difficult situation for the clinicians to treat. Large fenestration defects with cervical abrasion compromise the esthetics resulting in poor prognosis. Obtaining predictable and esthetic root coverage has become an integral part of periodontal therapy. The present case report describes a situation where class III gingival recession with cervical abrasion was seen in the lower central incisors. The patient was successfully treated with a combination of restorations (Filtek Z350® composite resin) to fill the defect, followed by fenestration procedure to increase the vestibular depth and subsequently with grafting procedure (soft tissue autograft with bovine-derived xenograft collagen [Bio-oss]). Though the results were not tangible esthetically, it was functionally successful as evidenced during the follow-up period.
ISSN:0972-124X
0975-1580
DOI:10.4103/0972-124X.170837