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Analysis of the esthetic outcome after root coverage procedures using a comprehensive approach
Sung Mi Kim1, Youn Hee Choi, Yong Gun Kim
1Department of Periodontology, School of Dentistry, Kyungpook National University, Daegu, Korea.
Summary
Patient satisfaction with root coverage procedures often differs from objective assessments. Partial root coverage can be perceived positively, especially in cases of deep recession.
Area of Science:
- Periodontology
- Esthetic Dentistry
Background:
- A discrepancy exists between clinician and patient satisfaction following root coverage procedures.
- Objective esthetic evaluation tools may not align with subjective patient satisfaction.
Purpose of the Study:
- To evaluate the esthetic outcomes of root coverage procedures.
- To compare objective measurements with subjective patient and clinician assessments.
- To understand disparities in esthetic satisfaction after periodontal surgery.
Main Methods:
- Included 58 sites in 31 patients undergoing root coverage procedures.
- Objective measurements: percentage of root coverage and root coverage esthetic score system.
- Subjective evaluation via a five-point ordinal scale questionnaire.
Main Results:
- Patient-perceived outcomes correlated better with the root coverage esthetic scoring system than root coverage percentage alone.
- Deeper recession and higher Miller class correlated with lower objective outcomes, while subjective outcomes remained steady.
- Epithelialized free soft tissue grafts yielded the lowest esthetic results across all metrics.
Conclusions:
- Patient satisfaction with esthetic outcomes may not consistently align with professional scoring.
- Partial root coverage can be considered a positive outcome by patients and clinicians in cases with deep gingival recession and high Miller classification.
