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A Connective Tissue Graft as a Biologic Alternative to Class V Restorations in Miller Class I and II Recession
The International Journal of Periodontics & Restorative Dentistry
|December 24, 2015
Summary
Restorative materials for cervical lesions often fail. Connective tissue grafts offer a durable, aesthetic surgical alternative for treating these lesions, improving outcomes before restorative procedures.
Area of Science:
- Dentistry
- Periodontology
- Restorative Dentistry
Background:
- Cervical lesions present challenges for restorative materials, impacting esthetics and durability.
- Resin-based restorations for cervical lesions face clinical issues despite improved dentin bonding.
- Connective tissue grafts are a proven biologic option for soft tissue replacement, offering longevity and esthetic benefits.
Observation:
- Connective tissue grafts have demonstrated significant longevity and esthetic advantages in replacing lost soft tissues.
- Case reports illustrate a surgical approach as a viable alternative for correcting cervical lesions.
Findings:
- Biologic reconstruction using connective tissue grafts provides a predictable method for managing cervical defects.
- This surgical option addresses the underlying tissue loss, improving the foundation for potential future restorations.
Implications:
- Clinicians should prioritize evaluating and considering biologic reconstruction with gingival tissue replacement prior to restorative interventions on exposed root surfaces.
- This approach may enhance the long-term success and esthetics of treating cervical lesions.

