Biomechanical, operative and biological aspects of the cervical margin relocation: a case report

Taiana Paola Prado; Eliseo Pablo Chun; Marina Gullo Augusto; Paula Bernardon; Elisa Donaria Aboucauch  Grassi; Guilherme de Siqueira Ferreira Anzaloni  Saavedra; Ingrid Fernandes  Mathias-Santamaria; Mauro Pedrine  Santamaria; Guilherme Schmitt de Andrade

doi:10.4322/bds.2022.e3158

Authors

Taiana Paola Prado Universidade Estadual Paulista, Institute of Science and Technology, Department of Restorative Dentistry. São José dos Campos, SP, Brazil. https://orcid.org/0000-0001-8655-2284
Eliseo Pablo Chun Universidad Espíritu Santo, School of Dentistry. Samborondon, Ecuador. https://orcid.org/0000-0001-9441-9758
Marina Gullo Augusto Universidade Estadual do Oeste do Paraná, Department of Dentistry. Cascavel, PR, Brazil. https://orcid.org/0000-0003-3293-082X
Paula Bernardon Private Practice. Cascavel, PR, Brazil. https://orcid.org/0000-0002-2846-3950
Elisa Donaria Aboucauch Grassi Universidade Estadual Paulista, Institute of Science and Technology, Department of Dental Materials and Prosthodontics. São José dos Campos, SP, Brazil. https://orcid.org/0000-0001-8951-8823
Guilherme de Siqueira Ferreira Anzaloni Saavedra Universidade Estadual Paulista, Institute of Science and Technology, Department of Dental Materials and Prosthodontics. São José dos Campos, SP, Brazil. https://orcid.org/0000-0001-7108-0544
Ingrid Fernandes Mathias-Santamaria University of Maryland, School of Dentistry, Department of General Dentistry, Division of Operative Dentistry, Baltimore, Maryland, United States of America. https://orcid.org/0000-0003-2518-0135
Mauro Pedrine Santamaria Universidade Estadual Paulista, Division of Periodontics, Institute of Science and Technology. São José dos Campos, SP, Brazil. https://orcid.org/0000-0001-9468-0729
Guilherme Schmitt de Andrade Universidade Estadual do Oeste do Paraná, Department of Dentistry. Cascavel, PR, Brazil. https://orcid.org/0000-0002-5697-2947

DOI:

https://doi.org/10.4322/bds.2022.e3158

Abstract

The clinical success of tooth-colored indirect restorations has been confirmed in several studies. However, inlays and
onlays restorations in Class II cavities with deep gingival margins can still be considered a clinical challenge. With
the purpose of facilitating the execution of the operative procedures in intrasulcular margins and reducing the risk
of restorative failures, the technique of cervical margin relocation has been explored as a noninvasive alternative to
surgical crown lengthening. This work aims at discussing through a case report the biomechanical, operative and
biological aspects in the treatment of teeth with deep gingival margins. Therefore, given the therapy applied in the
clinical case presented, it is concluded that the cervical margin relocation with composite resin is advantageous since
it eliminates the need for surgery, allowing the implementation of indirect restorations in fewer clinical sessions,
not causing damage to periodontal tissues once it provided good finishing and polishing with the establishment of
a correct emergence profile, allowing flawless maintenance of gingival health after one year.
KEYWORDS
Dental restoration failure; Dental marginal adaptation; Dental Cavity Preparation; Composite Resins; Inlays.

Author Biographies

Taiana Paola Prado, Universidade Estadual Paulista, Institute of Science and Technology, Department of Restorative Dentistry. São José dos Campos, SP, Brazil.

Department of Restorative Dentistry, Institute of Science and Technology, São Paulo State University (Unesp), São José dos Campos, SP, Brazil

Eliseo Pablo Chun, Universidad Espíritu Santo, School of Dentistry. Samborondon, Ecuador.

School of Dentistry, Espiritu Santo University, Samborondon, Ecuador.

Marina Gullo Augusto, Universidade Estadual do Oeste do Paraná, Department of Dentistry. Cascavel, PR, Brazil.

Department of Dentistry, Universidade Estadual do Oeste do Paraná (UNIOESTE), Cascavel, PR

Paula Bernardon, Private Practice. Cascavel, PR, Brazil.

Cascavel, PR, Brazil

Elisa Donaria Aboucauch Grassi, Universidade Estadual Paulista, Institute of Science and Technology, Department of Dental Materials and Prosthodontics. São José dos Campos, SP, Brazil.

Department of Dental Materials and Prosthodontics, Institute of Science and Technology, São Paulo State University (Unesp), São José dos Campos, SP, Brazil

Guilherme de Siqueira Ferreira Anzaloni Saavedra, Universidade Estadual Paulista, Institute of Science and Technology, Department of Dental Materials and Prosthodontics. São José dos Campos, SP, Brazil.

Department of Dental Materials and Prosthodontics, Institute of Science and Technology, São Paulo State University (Unesp), São José dos Campos, SP, Brazil

Ingrid Fernandes Mathias-Santamaria, University of Maryland, School of Dentistry, Department of General Dentistry, Division of Operative Dentistry, Baltimore, Maryland, United States of America.

Division of Periodontics, Institute of Science and Technology, São Paulo State University (Unesp), São José dos Campos, SP, Brazil

Mauro Pedrine Santamaria, Universidade Estadual Paulista, Division of Periodontics, Institute of Science and Technology. São José dos Campos, SP, Brazil.