MANAGEMENT OF CLASS III GINGIVAL RECESSION POST APICOECTOMY USING TWO STAGE PERIODONTAL PLASTIC SURGERY- A MICROSURGICAL APPROACH

Abstract

Gingival recession associated with root surface exposure is a complex phenomenon that may present numerous therapeutic challenges to the clinician. Many patients seek treatment because of concerns about esthetic appearance, root sensitivity, or fear of early loss of the affected teeth. The most common cause for gingival recession is abrasive, traumatic tooth brushing habits and buccally positioned teeth. Multiple periodontal plastic surgery approaches are documented for the treatment of gingival recession defects. These treatment approaches generally includes the manipulation of patient tissues to augment the soft tissues and cover the exposed roots surfaces. The combination of sub epithelial connective tissue graft with a coronally positioned ap has been shown to demonstrate the highest success with predictable results.