Tratamento restaurador direto e direto-indireto em lesões cervicais não-cariosas: revisão de literatura sistematizada

Abstract

Non-carious cervical lesions (NCCL) are characterized by the loss of dental enamel without bacterial involvement. The clinical diagnosis and appropriate treatment of these lesions pose a challenge to dentists due to their multifactorial etiology. The decision to indicate restorative treatment should take into consideration the individual characteristics of the patient, including the etiology. Direct Class V restorations are considered less durable due to difficulties and failures, such as lack of retention. The direct-indirect restorative technique was developed with the aim of optimizing the restoration technique by providing greater durability and adaptation at the gingival margin. Therefore, the objective of thisstudy is to compare, through a systematic literature review, the direct and direct-indirect restorative techniques using composite resin in NCCL, specifically in terms of longevity and retention of these restorations. The literature search was conducted using electronic searches in the PubMed, BBO, and LILACS databases, limited to publications between 2013 and 2023. The search strategy consisted of descriptors extracted from MESH: Non-carious cervical lesion, composite resin, Class V, direct-indirect; and from DECS: Composite resin, direct-indirect, semi-direct. After the search and application of inclusion and exclusion criteria, 32 articles directly related to the topic were selected. In conclusion, both restorative techniques showed high cumulative success rates, with the direct technique having the advantage of requiring less clinical time, while the direct-indirect method was favorable in cases of difficult access. For long-term success in the treatment of NCCL, it is essential to identify and control etiological factors and have adequate technical skills.