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A critical evaluation of methods for root coverage

M Goldstein1, L Brayer, Z Schwartz

  • 1Department of Periodontics, Faculty of Dental Medicine, Hebrew University Hadassah School of Dental Medicine, Jerusalem, Israel.

Critical Reviews in Oral Biology and Medicine : an Official Publication of the American Association of Oral Biologists
|January 1, 1996
PubMed
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It is time to move on.....

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Gingival recession, the exposure of root surfaces, can cause sensitivity and aesthetic issues. Surgical procedures now offer predictable and aesthetically pleasing root coverage, often combined with guided tissue regeneration for optimal outcomes.

Area of Science:

  • Periodontology
  • Regenerative Dentistry

Background:

  • Gingival recession exposes root surfaces due to apical migration of gingival margins.
  • This condition leads to thermal/tactile sensitivity, aesthetic concerns, and potential root caries.
  • While rarely causing tooth loss, it significantly impacts oral health and patient satisfaction.

Purpose of the Study:

  • To review current surgical procedures for root coverage.
  • To evaluate the advantages and disadvantages of these techniques.
  • To highlight the advancements in regenerative procedures for treating gingival recession.

Main Methods:

  • Review of current literature on surgical root coverage techniques.
  • Analysis of advantages and disadvantages of various procedures.
  • Discussion of the integration of guided tissue regeneration.

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Main Results:

  • Surgical root coverage outcomes are now predictable and aesthetically acceptable.
  • Guided tissue regeneration enhances the efficacy of root coverage procedures.
  • These regenerative approaches represent the forefront of periodontal treatment.

Conclusions:

  • Modern surgical techniques provide reliable solutions for gingival recession.
  • Aesthetic and functional improvements are achievable through root coverage procedures.
  • Regenerative dentistry, including guided tissue regeneration, is key to advancing treatment outcomes.