Coronally Positioned Flaps and Tunneling



Mucogingival deficiencies often pose both esthetic and functional problems. Untreated gingival recession has been demonstrated to progress over time, while its treatment leads to stable root coverage. A variety of therapeutic approaches have been utilized over the years to treat gingival recession defects with each having advantages and disadvantages. The present chapter reviews mucogingival defects, their prevalence, etiologies, classification, and risk assessment. The rationale for gingival recession therapy will be discussed. The variety of therapeutic options and graft materials available will be reviewed, as well as the advantages and disadvantages of each approach. An evidence-based strategy to the treatment of gingival recession entails consideration of risk factors, patient expectations, operator experience, and preferences in order select an appropriate technique, material, and protocol that suits a given patient and clinical scenario.


Gingival recession Gingival recession/surgery Gingival recession/therapy Mucogingival surgery Periodontal plastic surgery Gingival augmentation Root coverage 


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© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Laboratory for Immunoregulation and Tissue EngineeringOstrow School of Dentistry, University of Southern CaliforniaLos AngelesUSA
  2. 2.Clinic of Fixed and Removable Prosthodontics and Dental Material ScienceCenter of Dental Medicine, University of ZurichZurichSwitzerland

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