The of this review have shown that most root coverage periodontal plastic surgery procedures led to gains in reduction of gingival recession. Part 1: A Critical Review of the Literature on Root Coverage Procedures. Whether due to aggressive toothbrushing, trauma or periodontal diseases, gingival recession is frequently encountered in dental practice. General practitioners and specialists can manage recession defects with root coverage surgery when indicated. Background: Management of gingival recession defects, a common periodontal condition, using root coverage procedures is an important aspect of periodontal regenerative therapy.
Problem areas with a lack of keratinized tissue and gingival recession can be effectively treated with free gingival graft to create an adequate zone of attached gingiva and coverage of the exposed root.
Esthetics is the science of beauty and en-compasses almost every field of dentistry. Areas of gingival recession , in the absence of a mucogingival problem, in which there is an esthetic or root sensitivity consideration can be. Conclusion: Partial root coverage and gingival augmentation with a good or moderate esthetic appearance were obtained by one-step CT graft procedures in Miller Class I and II recessions.
Mean root coverage for CAF with ADM at Miller Class I and II gingival recession defects has been reported in systemic reviews as ranging from to. The subepithelial connective tissue graft with a cornonally advanced flap is gold standard grafting procedure. Prognosis (amount of root coverage achieved) will depend on the severity (size )of recession. Patient Concerns — Unsatisfactory esthetics is a major reason why patients with gingival recession seek treatment. Hypersensitivity is another chief concern, and it has been shown to be significantly reduced following root coverage procedures.
In some cases, however, a complete resolution of root sensitivity may require additional treatment, such as a Class V restoration.
Gingival recession can be corrected using pedicle grafts but careful case selection is essential for complete root coverage. To ensure success of periodontal plastic surgery several patient and. Purpose of ReviewThe demand for root coverage in multiple gingival recession defects has increased in recent years. Compared to isolated recession , multiple gingival recession defects are much.
Surgical Therapies for the Treatment of Gingival Recession Louis F. Dental therapy is increasingly directed at the esthetic outcomes for patients, which extend beyond tooth replacement and tooth color to include the soft tissue component framing the dentition. In patients with Miller Class III or IV. Mucogingival Procedures : Root Coverage of Gingival ( Gum) Recessions. Gum grafts can be used to cover roots or develop gum tissue where absent due to excessive gingival recession. During gum graft surgery, your periodontist takes gum tissue from your palate or another donor source to cover the exposed root.
This can be done for one tooth or several teeth to even your gum line and reduce sensitivity. Cosmetic Root Coverage for Gum Recession. Receding gums are a characteristic sign of moderate to advanced periodontal (gum) disease. When your gums recede, your teeth look longer and can feel very sensitive. Eventually, your root may be expose your teeth may become loose, and you may begin to lose your teeth.
Periodontal plastic therapeutic surgical techniques are the clinician’s tools for correcting such defects. Many surgical protocols have been described to achieve root coverage successfully. It is very common among American adults, affecting more than million people.
Men are at greater risk than women and African Americans experience more gingival recession than other ethnic groups. It occurs most frequently on buccal surfaces and is more common among those. Root Coverage Using a Xenograph for Treatment of Gingival Recession The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U. Gum recession is a common problem in adults over the age of 4 but it may also occur starting from the age of a teenager, or around the age of 10. Predictable root coverage and good color match are considered the major therapeutic end points in the treatment of gingival recession.
Root coverage procedures for the treatment of localised and multiple recession ‐type defects. The aim of this review was to evaluate the efficacy of different surgical procedures to cover exposed tooth roots, when the gum tissue has receded away from the tooth.
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