Root Coverage Procedures for Multiple Recession Defects

Abstract

Purpose of Review The demand for root coverage in multiple gingival recession defects has increased in recent years. Compared to isolated recession, multiple gingival recession defects are much more challenging due to various limiting factors and require more sophisticated surgical techniques. This review aims to address recent progress in the management of multiple recession defects. Recent Findings The subepithelial connective tissue graft (SCTG) procedure, while effective, is limited due to tissue availability and patient preference to avoid a donor harvest site. Different surgical techniques and biological materials have been studied in an attempt to find ideal alternatives. Summary Based on the studies reviewed, the SCTG procedure still remains the gold standard in terms of percent root coverage. Acellular dermal matrix allograft in conjunction with different flap designs has shown comparable, satisfactory results up to 1 year postoperatively. Other materials such as porcine collagen matrix and enamel matrix derivative also show some promise. Well-designed studies with long-term outcomes are still needed.

Root Coverage Using the Subepithelial Connective Tissue Graft or the Acellular Dermal Matrix for the Treatment of Gingival Recession: A Clinical Study

“…These findings are in accordance with previous systematic reviews, in which SCTG has been called the "gold standard" in the treatment of GR; its superiority has not been surpassed by other types of grafts [23][24][25]. SCTG is recommended, especially for the thin gingival biotype (with a thickness of <1 mm) [26].…”

Vestibular incision subperiosteal tunnel access (vista) con tejido conectivo versus mucograft ® en el tratamiento de recesiones clase III

“…La cirugía plástica periodontal es el conjunto de procedimientos destinados a corregir defectos en la morfología, posición y/o cantidad de encía en torno a los dientes (4) . La demanda de las cirugías de recubrimiento radicular múltiple ha aumentado durante los últimos años (5) , siendo la estética la principal indicación para el tratamiento de éstas (6) . Actualmente, una gran cantidad de opciones terapéuticas están disponibles para el tratamiento de defectos gingivales (7) .…”