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Retreatment of Gingival Recessions: Rationale and Definition Case Series Follow-Up.

Alon Sebaoun1, Perry Raz1, Liat Chaushu1

  • 1Department of Periodontology and Oral Implantology, Goldschleger School of Dental Medicine, Gray Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.

International Journal of Dentistry
|September 17, 2025
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Summary

Surgical retreatment for root coverage procedures effectively addresses persistent gingival recession. This approach offers predictable and stable long-term results, improving both recession depth and clinical attachment levels.

Keywords:
case seriesgingival recessionretreatmentroot coverage

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Area of Science:

  • Periodontology
  • Restorative Dentistry

Background:

  • Complete root coverage is a primary goal of root coverage procedures.
  • Retreatment may be necessary if initial procedures fail to achieve full root coverage.

Purpose of the Study:

  • To evaluate the necessity and outcomes of surgical retreatment for persistent gingival recessions.
  • To assess the predictability and long-term stability of root recession retreatment.

Main Methods:

  • A retrospective case series analyzed 105 gingival recessions in 56 patients undergoing surgical retreatment.
  • Data collected included pre- and post-retreatment recession depth (RD), keratinized tissue (KT) width, and attachment loss (AL).

Main Results:

  • Seventeen recessions (11 Miller Class I-II/RT1, 6 Miller Class III/RT2) in 13 patients were retreated.
  • Significant improvements in RD and clinical attachment level gain (CAL gain) were observed post-retreatment (p=0.0017).
  • Longer follow-up (>1 year) showed significantly higher KT gain (KTG) and reduction in residual RD (RRD) for Miller III/RT2 recessions (p < 0.0001).

Conclusions:

  • Surgical retreatment for root recession is a predictable and viable option.
  • The procedure demonstrates long-term stability and significant clinical benefits.
  • Retreatment is particularly effective for more severe recession classes (Miller III/RT2) with extended follow-up.