Rethinking the decision-making process to treat gingival recession associated with non-carious cervical lesions

Abstract The presence of a tooth-surface defect, such as non-carious cervical lesion (NCCL), associated with sites gingival recession (GR) defects creates combined soft tissue/tooth defect (CD) that requires different treatment plan. This study aimed to critically review the literature regarding available protocols for CDs and suggest new decision-making process. NCCLs were classified Class A-: cementoenamel junction (CEJ) was visible root surface discrepancy 0.5 mm (with step); B-: unidentifiable CEJ without step; B+: step. affecting both crown surfaces (Class B) lead destruction consequently eliminate an important landmark used before after coverage procedures. depth is vital owing its possible impact on tissue adaptation healing, which, in turn, may influence options, namely use graft and/or composites compensate discrepancy. Clinically, step horizontal greater than should be recognized minimum threshold value define this condition. Extremely deep tend assume V-shaped topography. Therefore, extremely into subclasses A+V, B+V, loss CEJ, management considerations. supported by literature, process deal each condition are presented.