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Current Oral Health Reports

, Volume 4, Issue 2, pp 97–104 | Cite as

Root Coverage Procedures for Multiple Recession Defects

  • Pin-Chuang Lai
  • Henry GreenwellEmail author
Digital and Esthetic Dentistry (P Stathopoulou and E Anadioti, Section Editors)
  • 107 Downloads
Part of the following topical collections:
  1. Topical Collection on Digital and Esthetic Dentistry

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.

Keywords

Multiple gingival recession Root coverage Review Mucogingival surgery Tissue engineering Connective tissue graft 

Notes

Compliance with Ethical Standards

Conflict of Interest

Pin-Chuang Lai declares that he has no conflict of interest.

Henry Greenwell reports a grant from BioHorizons outside of the submitted work.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Graduate Periodontics, School of DentistryUniversity of LouisvilleLouisvilleUSA

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