This lovely 90 year old patient presented concerned with the plaque retention and lateral periodontal abscess associated with tooth #9/2.1. The cervical abrasion lesion was restored, the subgingival region made cleansable with polished resin and the periodontal pocket root planed under anesthesia.
It is important to note that whilst connective tissue grafting is the gold standard, “soft tissue root coverage techniques may be contraindicated for root surfaces where the cavity preparation and/or cervical abrasion exceeds a depth of 1.0 to 3.0 mm”.
Indeed, “The use of adhesive restorative materials has been proved a biocompatible alternative for restoration of deep caries or cervical abrasion prior to surgical root coverage.”
Eur J Dent. 2009 Oct; 3(4): 318–323.
Treatment of Gingival Recessions Associated to Cervical Abrasion Lesions with Subepithelial Connective Tissue Graft: A Case Report
#rootcoveragefoundationalrestorations #ClassVbanger
