Alternativas terapêuticas de lesões cervicais não cariosas associadas às recessões gengivais.

Abstract

Non-carious cervical lesions are classified into erosion, abrasion and abfraction and are associated with etiological factors of chemical action of intrinsic or extrinsic, mechanical and traumatic occlusal origin, respectively. These lesions result in aesthetic changes, in dentin hypersensitivity, in subsequent root caries, demineralization, accumulation of dental biofilm and gingival recession. Currently, the occurrence of these lesions associated with gingival recession is common and it is essential that dental surgeons are able to identify the etiological factors, aiming at eliminating or controlling them to initiate restorative and gingival surgical therapies or the association of both, depending on the degree of dento-gingival involvement. This study is characterized as a literature review that aimed to address the therapeutic alternatives for non-carious cervical lesions associated with gingival recessions in order to expand the multidisciplinary knowledge of dental surgeons on the importance of knowing the etiologies and different forms of treatments for clinical cases. As results, highlighted in the literature, non-surgical treatments were obtained as dental therapeutic alternatives, such as hygiene control and occlusal adjustments, restorative treatments in composite resin and glass ionomer cement and surgical alternatives for root coverage associated or not with autogenous grafts guided tissue regeneration or proteins derived from the enamel matrix.