Decision Making in Gingival Recession Treatment: Scientific Evidence and Clinical Experience

Focused Clinical Question: What are the key considerations for selecting the best surgical approach in mucogingival plastic surgery? Summary: Treatment of gingival recession has become an important therapeutic issue due to the increasing number of cosmetic requests from patients. The dual goals of m...

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Bibliographic Details
Published in:Clinical advances in periodontics 2011-05, Vol.1 (1), p.41-52
Main Authors: Rasperini, Giulio, Acunzo, Raffaele, Limiroli, Enrico
Format: Article
Language:English
Subjects:
Connective tissue graft(s)
Dentistry
gingival recession
mucogingival surgery
periodontitis
plastic surgery, periodontal
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Summary:Focused Clinical Question: What are the key considerations for selecting the best surgical approach in mucogingival plastic surgery? Summary: Treatment of gingival recession has become an important therapeutic issue due to the increasing number of cosmetic requests from patients. The dual goals of mucogingival treatment include complete root coverage, up to the cemento‐enamel junction, and blending of tissue color between the treated area and non‐treated adjacent tissues. Even though the connective tissue graft is commonly considered the “gold standard” for treatment of recession defects, it may not always be the best surgical option for every case. Conclusions: Under non‐experimental conditions, all root coverage procedures may be effective in terms of complete root coverage and excellent esthetics. Careful analyses of patient‐ and defect‐related factors, however, are key considerations prior to selecting an appropriate surgical technique.
ISSN:2573-8046
2163-0097
DOI:10.1902/cap.2011.100002