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Root Coverage Procedures for Multiple Recession Defects

  • Digital and Esthetic Dentistry (P Stathopoulou and E Anadioti, Section Editors)
  • Published:
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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.

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Authors and Affiliations

  1. Graduate Periodontics, School of Dentistry, University of Louisville, 501 South Preston Street, Louisville, KY, 40202, USA

    Pin-Chuang Lai & Henry Greenwell

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  1. Pin-Chuang Lai
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  2. Henry Greenwell
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Correspondence to Henry Greenwell.

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

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

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

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This article is part of the Topical Collection on Digital and Esthetic Dentistry

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Lai, PC., Greenwell, H. Root Coverage Procedures for Multiple Recession Defects. Curr Oral Health Rep 4, 97–104 (2017). https://doi.org/10.1007/s40496-017-0131-5

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  • DOI: https://doi.org/10.1007/s40496-017-0131-5

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