{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T14:28:14Z","timestamp":1783348094284,"version":"3.54.6"},"reference-count":29,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2022,7,13]],"date-time":"2022-07-13T00:00:00Z","timestamp":1657670400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dentistry Journal"],"abstract":"<jats:p>Gingival recessions (GR) are often associated with the presence of non-carious cervical lesions (NCCL). The latter result in the disappearance of the cement\u2013enamel junction (CEJ), with consequent difficulties both in measuring the recession itself and in performing root coverage techniques. The restoration of cervical lesions is consequently an important aspect in the treatment of GR, with the re-establishment of a \u201cnew\u201d CEJ. This pilot study aimed to verify whether restorative therapy alone, with the execution of a restoration that mimics the convexity of the natural CEJ and thanks to a slight horizontal over-contour, can stabilize a clot in the intrasulcular site and consequently is able to change the position of the gingival margin in a coronal direction. In periodontally healthy patients, with a non-thin gingival phenotype, 10 GR-associated NCCL restorations were performed using a protocol inspired by concepts of prosthetic conditioning, with a progressively reduced convexity (\u201ccoronally dynamic restoration\u201d) and de-epithelialization of the gingival sulcus. We observed that 70% of the treated teeth showed a reduction in crown length after 15 days (\u22120.267 mm), without an increase in probing depth. While considering the limitations of the sample and the need to evaluate the different parameters that can affect the result, the coronally dynamic restoration of NCCL with GR was able to influence the position of the gingival margin in a coronal direction.<\/jats:p>","DOI":"10.3390\/dj10070132","type":"journal-article","created":{"date-parts":[[2022,7,13]],"date-time":"2022-07-13T22:06:00Z","timestamp":1657749960000},"page":"132","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Clinical Behavior of the Gingival Margin following Conservative \u201cCoronally Dynamic\u201d Restorations in the Presence of Non-Carious Cervical Lesions Associated with Gingival Recession: A Pilot Study"],"prefix":"10.3390","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9341-2490","authenticated-orcid":false,"given":"Felice","family":"Femiano","sequence":"first","affiliation":[{"name":"Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania, Luigi Vanvitelli, Via De Crecchio 6, 83138 Napoli, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rossella","family":"Sorice","sequence":"additional","affiliation":[{"name":"Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania, Luigi Vanvitelli, Via De Crecchio 6, 83138 Napoli, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rossella","family":"Femiano","sequence":"additional","affiliation":[{"name":"Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania, Luigi Vanvitelli, Via De Crecchio 6, 83138 Napoli, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luigi","family":"Femiano","sequence":"additional","affiliation":[{"name":"Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania, Luigi Vanvitelli, Via De Crecchio 6, 83138 Napoli, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7174-7596","authenticated-orcid":false,"given":"Ludovica","family":"Nucci","sequence":"additional","affiliation":[{"name":"Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania, Luigi Vanvitelli, Via De Crecchio 6, 83138 Napoli, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6671-2380","authenticated-orcid":false,"given":"Vincenzo","family":"Grassia","sequence":"additional","affiliation":[{"name":"Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania, Luigi Vanvitelli, Via De Crecchio 6, 83138 Napoli, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Annunziata","sequence":"additional","affiliation":[{"name":"Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania, Luigi Vanvitelli, Via De Crecchio 6, 83138 Napoli, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Baldi","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences, University of Turin, 10124 Torino, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7380-1675","authenticated-orcid":false,"given":"Nicola","family":"Scotti","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences, University of Turin, 10124 Torino, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2756-0668","authenticated-orcid":false,"given":"Livia","family":"Nastri","sequence":"additional","affiliation":[{"name":"Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania, Luigi Vanvitelli, Via De Crecchio 6, 83138 Napoli, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,7,13]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1016\/0300-5712(94)90107-4","article-title":"Non-Carious Cervical Lesions","volume":"22","author":"Levitch","year":"1994","journal-title":"J. Dent."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"725","DOI":"10.14219\/jada.archive.2002.0268","article-title":"Characteristics of Non-carious Cervical Lesions: A Clinical Investigation","volume":"133","author":"Aw","year":"2002","journal-title":"J. Am. Dent. Assoc."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1177\/154405910608500405","article-title":"A Critical Review of Non-Carious Cervical (Wear) Lesions and the Role of Abfraction, Erosion, and Abrasion","volume":"85","author":"Bartlett","year":"2006","journal-title":"J. Dent. Res."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1105","DOI":"10.14219\/jada.archive.2004.0369","article-title":"Attrition, abrasion, corrosion and abfraction revisited: A new perspective on tooth surface lesions","volume":"135","author":"Grippo","year":"2004","journal-title":"J. Am. Dent. Assoc."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1111\/j.1708-8240.2011.00487.x","article-title":"Abfraction, abrasion, biocorrosion, and the enigma of noncarious cervical lesions: A 20-year perspective","volume":"24","author":"Grippo","year":"2012","journal-title":"J. Esthet. Restor. Dent."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1007\/s00784-013-0960-0","article-title":"The Anatomy of Non-Carious Cervical Lesions","volume":"18","author":"Walter","year":"2014","journal-title":"Clin. Oral Investig."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"687058","DOI":"10.1155\/2012\/687058","article-title":"Restoration of Noncarious Cervical Lesions: When, Why, and How","volume":"2012","author":"Perez","year":"2012","journal-title":"Int. J. Dent."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1007\/s10266-017-0300-y","article-title":"The Prevalence and Morphological Types of Non-Carious Cervical Lesions (NCCL) in a Contemporary Sample of People","volume":"105","author":"Igarashi","year":"2017","journal-title":"Odontology"},{"key":"ref_9","first-page":"e648","article-title":"Epidemiological Investigation of Non-Carious Cervical Lesions and Possible Etiological Factors","volume":"10","author":"Kolak","year":"2018","journal-title":"J. Clin. Exp. Dent."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"S77","DOI":"10.1007\/s00784-012-0898-7","article-title":"A Decision Tree for the Management of Exposed Cervical Dentin (ECD) and Dentin Hypersensitivity (DHS)","volume":"17","author":"Martens","year":"2013","journal-title":"Clin. Oral Investig."},{"key":"ref_11","first-page":"1013","article-title":"Decision-Making Process as Guide to the Management of Non-Carious Cervical Lesions with and without Painful Symptomatology","volume":"33","author":"Femiano","year":"2019","journal-title":"J. Biol. Regul. Homeost. Agents"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1713","DOI":"10.1902\/jop.2011.110080","article-title":"Non-Carious Cervical Lesions Associated with Gingival Recessions: A Decision-Making Process","volume":"82","author":"Zucchelli","year":"2011","journal-title":"J. Periodontol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1016\/j.jdent.2018.06.017","article-title":"Relationship between Noncarious Cervical Lesions, Cervical Dentin Hypersensitivity, Gingival Recession, and Associated Risk Factors: A Cross-Sectional Study","volume":"76","author":"Teixeira","year":"2018","journal-title":"J. Dent."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"S190","DOI":"10.1111\/jcpe.12948","article-title":"Mucogingival Conditions in the Natural Dentition: Narrative Review, Case Definitions, and Diagnostic Considerations","volume":"45","author":"Cortellini","year":"2018","journal-title":"J. Clin. Periodontol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"714","DOI":"10.1902\/jop.2006.050038","article-title":"Clinical and Anatomical Factors Limiting Treatment Outcomes of Gingival Recession: A New Method to Predetermine the Line of Root Coverage","volume":"77","author":"Zucchelli","year":"2006","journal-title":"J. Periodontol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"885","DOI":"10.1902\/jop.2010.090631","article-title":"Classification of Dental Surface Defects in Areas of Gingival Recession","volume":"81","author":"Franceschi","year":"2010","journal-title":"J. Periodontol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"344","DOI":"10.2334\/josnusd.17-0190","article-title":"Nanofilled and Conventional Resin-Modified Glass Ionomer Fillings Combined with Connective Tissue Grafts for Treatment of Gingival Recessions with Non-Carious Cervical Lesions","volume":"60","author":"Dursun","year":"2018","journal-title":"J. Oral Sci."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"218","DOI":"10.5395\/rde.2016.41.3.218","article-title":"A Combined Approach to Non-Carious Cervical Lesions Associated with Gingival Recession","volume":"41","author":"Yang","year":"2016","journal-title":"Restor. Dent. Endod."},{"key":"ref_19","first-page":"445","article-title":"A novel approach to treat gingival recession and Non-Caries Cervical Lesion combined defects: Restoration guided creeping attachment (RGCA) technique. A case report","volume":"49","author":"Derchi","year":"2018","journal-title":"Quintessence Int."},{"key":"ref_20","first-page":"10","article-title":"Biologically Oriented Preparation Technique (BOPT): A New Approach for Prosthetic Restoration of Periodontically Healthy Teeth","volume":"8","author":"Loi","year":"2013","journal-title":"Eur. J. Esthet. Dent. Off. J. Eur. Acad. Esthet. Dent."},{"key":"ref_21","first-page":"237","article-title":"Gingival Biotype Assessment in the Esthetic Zone: Visual versus Direct Measurement","volume":"30","author":"Kan","year":"2010","journal-title":"Int. J. Periodont. Restor. Dent."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1007\/s40496-017-0149-8","article-title":"How Stable is Dentin as a Substrate for Bonding?","volume":"4","author":"Maravic","year":"2017","journal-title":"Curr. Oral Health Rep."},{"key":"ref_23","first-page":"89","article-title":"New-generation curing units and short irradiation time: The degree of conversion of microhybrid composite resin","volume":"42","author":"Scotti","year":"2011","journal-title":"Quintessence Int."},{"key":"ref_24","first-page":"69","article-title":"Tecnica di preparazione orientata biologicamente (BOPT). Un nuovo approccio nella preparazione protesica in odontostomatologia","volume":"24","author":"Loi","year":"2008","journal-title":"Quintessence Int."},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Femiano, F., Femiano, R., Femiano, L., Nucci, L., Minervini, G., Antonelli, A., Bennardo, F., Barone, S., Scotti, N., and Sorice, V. (2021). A new combined protocol to treat the dentin hypersensitivity associated with non-carious cervical lesions: A randomized controlled trial. Appl Sci., 11.","DOI":"10.3390\/app11010187"},{"key":"ref_26","unstructured":"Tacchini, L., and Bazzoli, M. (2017). Restauri conservativi di V classe secondo i principi della tecnica BOPT: Le risposte tissutali. Dent. Mod., 62\u201370."},{"key":"ref_27","first-page":"5828423","article-title":"The Creeping Attachment Induced Technique (CAIT) in Natural and Restored Teeth: Case Reports with 24 Months of Follow-Up","volume":"2019","author":"Perelli","year":"2019","journal-title":"Case Rep. Dent."},{"key":"ref_28","first-page":"47","article-title":"Caso cl\u00ednico. Examen histol\u00f3gico humano de la respuesta de los tejidos al tallado vertical y provisionalizaci\u00f3n inmediata (BOPT)","volume":"12","author":"Vela","year":"2019","journal-title":"Fundam. Biol\u00f3gico"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1902\/jop.2005.76.2.256","article-title":"Non-Surgical Periodontal Therapy of Shallow Gingival Recession Defects: Evaluation of the Restorative Capacity of Marginal Gingiva after 12 Months","volume":"76","author":"Aimetti","year":"2005","journal-title":"J. Periodontol."}],"container-title":["Dentistry Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2304-6767\/10\/7\/132\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T23:49:35Z","timestamp":1760140175000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2304-6767\/10\/7\/132"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,13]]},"references-count":29,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2022,7]]}},"alternative-id":["dj10070132"],"URL":"https:\/\/doi.org\/10.3390\/dj10070132","relation":{},"ISSN":["2304-6767"],"issn-type":[{"value":"2304-6767","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,13]]}}}