Skip to main content
SpringerLink
Log in

Decision-Making in Surgical Management of Gingival Recession

  • Chapter
  • First Online:
Gingival Recession Management

Abstract

Coverage of exposed root surfaces is one of the most common treatments in plastic periodontal surgery. The following chapter presents a review about established procedures for coverage of recessions including the application of coronal and lateral advanced flaps, soft tissue grafts as well as their combinations and tunnelling procedures. Besides, patient-related, defect-orientated and technique-based factors will be discussed that mainly influence the success of root coverage and, therefore, should be considered in presurgical treatment planning. An indication scheme presents differential indications of the most important techniques depending on clinical parameters.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Miller PD Jr. A classification of marginal tissue recession. Int J Periodontics Restorative Dent. 1985;5:8–13.

    Google Scholar 

  2. Harris RJ. The connective tissue with partial thickness double pedicle graft: the results of 100 consecutively-treated defects. J Periodontol. 1994;65:448–61.

    Article  Google Scholar 

  3. Roccuzzo M, Bunino M, Needleman I, Sanz M. Periodontal plastic surgery for treatment of localized gingival recessions: a systematic review. J Clin Periodontol. 2002;29:178–94.

    Article  Google Scholar 

  4. Cairo F, Pagliaro U, Nieri M. Treatment of gingival recession with coronally advanced flap procedures: a systematic review. J Clin Periodontol. 2008;35:136–62.

    Article  Google Scholar 

  5. Cairo F, Nieri M, Pagliaro U. Efficacy of periodontal plastic surgery procedures in the treatment of localized facial gingival recessions. A systematic review. J Clin Periodontol. 2014;41:44–62.

    Article  Google Scholar 

  6. Oates TW, Robinson M, Gunsolley JC. Surgical therapies for the treatment of gingival recession. A systematic review. Ann Periodontol. 2003;8:303–20.

    Article  Google Scholar 

  7. McGuire MK, Nunn M. Evaluation of human recession defects treated with coronally advanced flaps and either enamel matrix derivative or connective tissue. Part 1: comparison of clinical parameters. J Periodontol. 2003;74:1110–25.

    Article  Google Scholar 

  8. Jepsen K, Jepsen S, Zucchelli G, Stefanini M, de Sanctis M, Baldini N, Greven B, Heinz B, Wennström J, Cassel B, Vignoletti F, Sanz M. Treatment of gingival recession defects with a coronally advanced flap and a xenogeneic collagen matrix: a multicenter randomized clinical trial. J Clin Periodontol. 2013;40:82–9.

    Article  Google Scholar 

  9. McGuire MK, Scheyer ET. Xenogeneic collagen matrix with coronally advanced flap compared to connective tissue with coronally advanced flap for the treatment of dehiscence-type recession defects. J Periodontol. 2010;81:1108–17.

    Article  Google Scholar 

  10. Zucchelli G, De Sanctis M. Treatment of multiple recession-type defects in patients with esthetic demands. J Periodontol. 2000;71:1506–14.

    Article  Google Scholar 

  11. Allen AL. Use of the supraperiosteal envelope in soft tissue grafting for root coverage. I. Rationale and technique. Int J Periodontics Restorative Dent. 1994;14:216–27.

    PubMed  Google Scholar 

  12. Azzi R, Etienne D. Recouvrement radiculaire et reconstruction papillaire pargreffon conjonctif enfoui sous un lambeau vestibulaire tunne’lise’ et tracte’ coronairement. J Parodontol Implant Orale. 1998;17:71–7.

    Google Scholar 

  13. Zabalegui I, Sicilia A, Cambra J, Gil J, Sanz M. Treatment of multiple adjacent gingival recessions with the tunnel subepithelial connective tissue graft: a clinical report. Int J Periodontics Restorative Dent. 1999;19:199–206.

    PubMed  Google Scholar 

  14. Martins AG, Andia DC, Sallum AW, Sallum EA, Casati MZ, Nociti Júnior FH. Smoking may affect root coverage outcome: a prospective clinical study in humans. J Periodontol. 2004;75:586–91.

    Article  Google Scholar 

  15. Chambrone L, Chambrone D, Pustiglioni FE, Chambrone LA, Lima LA. The influence of tobacco smoking on the outcomes achieved by root-coverage procedures: a systematic review. J Am Dent Assoc. 2009;140:294–306.

    Article  Google Scholar 

  16. Chambrone L, Tatakis DN. Periodontal soft tissue root coverage procedures: a systematic review from the AAP Regeneration Workshop. J Periodontol. 2015;86:8–51.

    Article  Google Scholar 

  17. Baldi C, Pini-Prato G, Pagliaro U, Nieri M, Saletta D, Muzzi L, Cortellini P. Coronally advanced flap procedure for root coverage. Is flap thickness a relevant predictor to achieve root coverage? A 19-case series. J Periodontol. 1999;70:1077–84.

    Article  Google Scholar 

  18. Zucchelli G, Testori T, De Sanctis M. Clinical and anatomical factors limiting treatment outcomes of gingival recession: a new method to predetermine the line of root coverage. J Periodontol. 2006;77:714–21.

    Article  Google Scholar 

  19. Pini Prato G, Pagliaro U, Baldi C, Nieri M, Saletta D, Cairo F, Cortellini P. Coronally advanced flap procedure for root coverage. Flap with tension versus flap without tension: a randomized controlled clinical study. J Periodontol. 2000;71:188–201.

    Article  Google Scholar 

  20. Pini Prato GP, Baldi C, Nieri M, Franseschi D, Cortellini P, Clauser C, Rotundo R, Muzzi L. Coronally advanced flap: the post-surgical position of the gingival margin is an important factor for achieving complete root coverage. J Periodontol. 2005;76:713–22.

    Article  Google Scholar 

  21. Cortellini P, Tonetti MS. Microsurgical approach to periodontal regeneration. Initial evaluation in a case cohort. J Periodontol. 2001;72:559–69.

    Article  Google Scholar 

  22. Burkhardt R, Lang NP. Coverage of localized gingival recessions: comparison of micro- and macrosurgical techniques. J Clin Periodontol. 2005;32:287–93.

    Article  Google Scholar 

  23. Harvey P. Management of advanced periodontitis. Part 1. Preliminary report of a method of surgical reconstruction. N Z Dent J. 1965;61:180.

    PubMed  Google Scholar 

  24. Grupe HE, Warren R. Repair of gingival defects by a sliding flap operation. J Periodontol. 1956;27:92–5.

    Article  Google Scholar 

  25. Cohen DW, Ross SE. The double papillae repositioned flap in periodontal therapy. J Periodontol. 1968;39:65–70.

    Article  Google Scholar 

  26. Raetzke PB. Covering localized areas of root exposure employing the “envelope” technique. J Periodontol. 1985;56:397–402.

    Article  Google Scholar 

  27. Sullivan HC, Atkins JH. Free autogenous gingival grafts. I. Principles of successful grafting. Periodontics. 1968;6:121–9.

    PubMed  Google Scholar 

  28. Tarnow D. Semilunar coronally positioned flap. J Clin Periodontol. 1986;13:182–5.

    Article  Google Scholar 

  29. Nelson S. The subpedicle connective tissue graft technique for root coverage. J Periodontol. 1987;56:715–20.

    Google Scholar 

  30. Bernimoulin JP, Lüscher B, Mühlemann HR. Coronally repositioned periodontal flap. Clinical evaluation after one year. J Clin Periodontol. 1975;2:1–13.

    Article  Google Scholar 

  31. Thalmeir T, Fickl S, Hinze M, Bolz W, Wachtel H. Tunneltechnik bei multiplen Rezessionen—vorläufige Ergebnisse einer prospektiven Untersuchung. Parodontologie. 2010;21:292.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Operative Dentistry, Periodontology and Preventive Dentistry, University Hospital Aachen, Aachen, Germany

    Jamal M. Stein

Authors
  1. Jamal M. Stein
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Jamal M. Stein .

Editor information

Editors and Affiliations

  1. Department of Operative Dentistry and Periodontology, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany

    Adrian Kasaj

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Stein, J.M. (2018). Decision-Making in Surgical Management of Gingival Recession. In: Kasaj, A. (eds) Gingival Recession Management. Springer, Cham. https://doi.org/10.1007/978-3-319-70719-8_7

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-70719-8_7

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-70717-4

  • Online ISBN: 978-3-319-70719-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation