When these defects occur in isolation or in association with non-carious cervical lesions, clinical decision-making becomes increasingly complex due to variations in periodontal tissue integrity, gingival thickness, interdental attachment levels, and the presence of hard-tissue defects.
Effective management requires a comprehensive diagnostic approach that integrates both soft and hard tissue assessments to guide therapeutic choices.
In the article Clinical Management of Gingival Recessions with or Without Cervical Lesions: A Decisional Scheme Proposal, Coccoluto et al. synthesize current evidence and clinical expertise to propose a structured decisional scheme tailored to these clinical scenarios.
Drawing on the 2017 World Workshop Classification, the authors outline a decision-making algorithm that incorporates key parameters — including the presence or absence of the cemento-enamel junction (CEJ), non-carious cervical lesions, gingival thickness, and interproximal attachment loss — to support selection of the most appropriate periodontal and restorative treatments.
Representative clinical cases illustrate how this scheme can enhance predictability and clinical outcomes, particularly when integrating periodontal surgery with restorative strategies where indicated.
This framework aims to equip clinicians with a practical, evidence-informed tool to navigate the nuanced treatment landscape of gingival recession defects, fostering improved aesthetics, root coverage, and long-term stability.
👉 Read the full article in PDF: Clinical Management of Gingival Recessions with or Without Cervical Lesions: A Decisional Scheme Proposal (available on MDPI) — an essential resource for periodontists and general dentists seeking a structured clinical approach.
