Periodontal plastic surgery for root coverage in a case of gingival recessions associated with cervical abrasion
Different approaches have been suggested in such cases. Some authors propose to first proceed with the filling of the roots defect and then perform the surgery, while others suggest the opposite. In this case the second option was selected.
A 45 years old female non-diabetic and non-smoker, presented with gingival recessions associated with cervical abrasions complaining about esthetics and root sensitivity.
In cases of root abrasion the soft tissue can be used as a filler of the defect. If a small root irregularity remains, it can be treated with adhesive tecniques after tissue maturation.
Pini Prato G, Pagliaro U, Baldi C, Nieri M, Saletta D, Cairo F, Cortellini P. Coronally advanced ?ap procedure for root coverage. Flap with tension versus ?ap without tension: a randomized controlled clinical study. J Periodontol. 2000 Feb; 71(2): 188-201.
Saletta D, Pini Prato G, Pagliaro U, Baldi C, Mauri M, Nieri M. Coronally advanced ?ap procedure: is the interdental papilla a prognostic factor for root coverage? J Periodontol. 2001 Jun; 72(6):760-766.
Andia DC, Martins AG, Casati MZ, Sallum EA, Nociti FH. Root coverage outcome may be affected by heavy smoking: a 2-years follow-up study. J Periodontol. 2008 Apr;79(4): 647-653.
Rotundo R, Mori M, Bonaccini D, Baldi C. Intra-and inter-rater agreement of a new classi?cation system of gingival recession defects. Eur J Oral Implantol. 2011 Summer;4(2):127-33.
Allen EP, Miller PD Jr. Coronal positioning of existing gingiva: short term results in the treatment of shallow marginal tissue recession. J Periodontol. 1989 Jun;60(6):316-9.
Zucchelli G, De Sanctis M. The coronally advanced ?ap for the treatment of multiple recession defects: a modi?ed surgical approach for the upper anterior teeth. J Int Acad Periodontol. 2007 Jul;9(3):96-103.
Cairo F, Pagliaro U, Nieri M. Treatment of gingival recession with coronally advanced ?ap procedures: a systematic review. J Clin Periodontol. 2008 Sep;35(8 Suppl):136-62.