Journal of Indian Society of Periodontology
Journal of Indian Society of Periodontology
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CASE REPORT
Year : 2016  |  Volume : 20  |  Issue : 2  |  Page : 211-215

An interdisciplinary approach for the management of noncarious lesions


1 Department of Periodontics, A. J. Institute of Dental Sciences, Mangalore, Karnataka, India
2 Department of Public Health Dentistry, A. J. Institute of Dental Sciences, Mangalore, Karnataka, India

Correspondence Address:
Dr. Sahana Purushotham
Department of Periodontics, A. J. Institute of Dental Sciences, NH-66, Kuntikana, Mangalore - 575 004, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-124X.170837

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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.


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