Evidence map›Paper›PMID 40325975›Full record

ArticleJournal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.]2025

A Multifunctional Guide for Non-Carious Cervical Lesion Restoration and Root Coverage Using a Coronally Advanced Flap in the Treatment of Combined Lesions.

Isabella Neme Ribeiro Dos Reis, Aldrin André Huamán-Mendoza, Oswaldo Villa-Campos, Nataly Zambrana, Newton Sesma, Franz Josef Strauss, Giuseppe Alexandre Romito

Abstract readCase Reports
In one paragraph

Article in Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.], 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. A Multifunctional Guide for Non-Carious Cervical Lesion Restoration and Root Coverage Using a Coronally Advanced Flap in the Treatment of Combined Lesions.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Isabella Neme Ribeiro Dos ReisDepartment of Stomatology, Division of Periodontics, School of Dentistry, University of São Paulo, São Paulo, Brazil.ORCID 0000-0002-9249-4540
Aldrin André Huamán-MendozaDepartment of Stomatology, Division of Periodontics, School of Dentistry, University of São Paulo, São Paulo, Brazil.ORCID 0000-0002-6374-511X
Oswaldo Villa-CamposDepartment of Reconstructive Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland.ORCID 0000-0003-1037-2249
Nataly ZambranaDepartment of Biologic and Material Sciences, School of Dentistry, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0002-5516-9810
Newton SesmaDepartment of Prosthodontics, School of Dentistry, University of São Paulo, São Paulo, Brazil.ORCID 0000-0001-5044-1742
Franz Josef StraussDepartment of Reconstructive Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland.ORCID 0000-0002-5832-7327
Giuseppe Alexandre RomitoDepartment of Reconstructive Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland.ORCID 0000-0001-5669-912X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis case report describes a digital workflow that integrates restorative and surgical planning through the design and fabrication of a multifunctional guide to optimize outcomes in the treatment of combined lesions. CLINICAL CONSIDERATIONS: Gingival recessions frequently occur alongside non-carious cervical lesions (NCCLs), forming combined defects that complicate cementoenamel junction (CEJ) identification and treatment planning. A 40-year-old male presenting with gingival recession and NCCLs on teeth #14 and #15. A restoration was planned to reconstruct the lost CEJ using clinical reference points. A custom surgical guide was subsequently designed to replicate the planned restoration's contour and to delineate the intended incision patterns for the coronally advanced flap (CAF) procedure. The CEJ restoration was executed using composite resin, with the guide assisting in achieving precise contouring. Root coverage was then performed using a CAF combined with a connective tissue graft, with the guide facilitating accurate scalpel blade placement during flap preparation. At the one-year follow-up, complete root coverage was observed and the restoration maintained stability in terms of marginal adaptation, color, and surface integrity.

conclusionsThe use of a multifunctional digital guide can enhance the precision of both restorative and surgical procedures in the management of combined gingival recession and NCCL defects, potentially improving treatment predictability and outcomes. CLINICAL SIGNIFICANCE: This case report highlights the benefits of a 3D-printed multifunctional digital guide for precise CEJ restoration and flap design in treating gingival recessions associated with NCCLs.

Indexed as

Dental Restoration, PermanentGingival RecessionSurgical FlapsTooth CervixTooth RootAdultHumansMalecoronally advanced flapdigital workflowgingival recessionnon‐carious cervical lesionsurgical guide

Identifiers

PMID40325975
PMCPMC12315623

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.