Abstract
Clinical evaluation of efficacy of modified mucogingival flap technique with connective tissue graft in management of multiple adjacent class iii gingival recessions
Highlights
Gingival recession is a composite phenomenon often associated with other mucogingival conditions complicating therapeutic outcome (Dym H, Tagliareni JM)
Classifications of gingival recession given by Miller in 1983 and systematic review by Wennstorm in 1996 indicate the difficulty of obtaining favorable outcomes in patients with class III / IV recession defects
Verma and Romanos performed bridge flap in patients with advanced recession along with problems of shallow vestibule, inadequate width of AG, frenal pull and obtained root coverage RC % that varied from 25
Summary
Gingival recession is a composite phenomenon often associated with other mucogingival conditions complicating therapeutic outcome (Dym H, Tagliareni JM). The progression of gingival recession, difficulty in plaque maintenance around non-keratinized alveolar mucosa and predisposition to root caries has broadened the scope of mucogingival therapy. The associations of frenal pull, shallow vestibule, narrow interdental spaces, thin gingival biotype and inadequate attached gingiva may negatively influence the outcome of conventional root coverage procedures (Friedman N, Levine). Classifications of gingival recession given by Miller in 1983 and systematic review by Wennstorm in 1996 indicate the difficulty of obtaining favorable outcomes in patients with class III / IV recession defects. Verma and Romanos performed bridge flap in patients with advanced recession along with problems of shallow vestibule, inadequate width of AG, frenal pull and obtained root coverage RC % that varied from 25-
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