Gingival recessions induce root denudation with the risk of non-carious and carious cervical lesions. Periodontal plastic surgery may be used as an alternative to restorative dentistry in order to cover the lesion. Among all the surgical techniques, coronally advanced flap procedures produce statically significant improvements in root coverage with good esthetic results and hypersensitivity reduction. However, the nature of the attachment gain is still controversial. The use of an enamel matrix derivative (Emdogain®) in the treatment of intrabony defects is supposed to promote periodontal regeneration and to favor the early healing of periodontal soft tissue wounds. In the case of gingival recessions with cervical lesions which have been previously treated in restorative dentistry, a coronally advanced flap procedure combined with the application of an enamel matrix derivative can be used in order to promote a re-mineralization of the lesion and to enhance the rate of connective tissue attachment. This case report demonstrates good clinical results after 1 year of healing.
Keywords: enamel matrix derivative, gingival recession, cervical lesion, bonded restoration