الفهرس | Only 14 pages are availabe for public view |
Abstract Gingival recession is a common clinical finding which occurs when the location of the gingival margin is apical in relation to the cemento-enamel junction (CEJ)1. The collapse of gingival tissue results in attachment loss by destruction of the periodontal connective tissue and alveolar bone. The most frequent etiologic factors associated with gingival recession are inflammatory periodontal disease, traumatic tooth brushing and inadequate attached gingival dimensions. It is usually associated with aesthetic concerns, root hypersensitivity, cemental erosion and possibly root caries2–4. Different surgical techniques and flap designs have been used in an attempt for treatment of gingival recession defects with predictability of these procedures having improved with modifications. It included free gingival graft (FGG)5, connective tissue graft (CTG)6, guided tissue regeneration (GTR)7, laterally positioned flap (LPF), coronally advanced flap (CAF)8, and a combination of CAF and CTG9. Independent of the modality of surgical procedure used, the ideal technique for root coverage should not only achieving predictable root coverage, shallow probing depth, and adequate band of keratinized tissue, but also attaining acceptable esthetic, reducing tooth sensitivity and postoperative complications10. |