Periodontal soft tissue root coverage procedures: a consensus report from the AAP Regeneration Workshop.

Area of Science:

• Periodontal regenerative therapy
• Periodontal soft tissue reconstructive procedures

Background:

• Gingival recession defects are common periodontal conditions requiring effective management.
• Root coverage procedures are crucial in periodontal regenerative therapy.
• A consensus report was developed to identify optimal evidence-based management strategies for various clinical scenarios.

Framework:

• Systematic review of root coverage procedures.
• Discussion of treatment for single-tooth and multiple-tooth recession defects.
• Identification of research priorities for future studies.

Implementation:

• Reviewed root coverage procedures demonstrating significant recession depth reduction.
• Subepithelial connective tissue graft (SCTG) procedures showed superior root coverage outcomes.
• Acellular dermal matrix graft (ADMG) or enamel matrix derivative (EMD) with coronally advanced flap (CAF) emerged as viable alternatives to autogenous grafts.

Implications:

• Predictable root coverage is achievable for various recession defects.
• SCTG procedures are recommended for optimal outcomes in Miller Class I and II defects.
• Further research is needed for multiple-tooth defects, specific oral sites, and patient-reported outcomes.