Mucogingival Grafting Procedures – An Update

Abstract

To make the dental practitioner aware of the different surgical modalities available for the treatment of gingival recession and improve his/her ability to identify patients who might benefit from them.

Gingival recession: part 2. Surgical management using pedicle grafts

“…The main indications for surgical intervention to correct recession defects include the need to improve localised soft tissue aesthetics, reduce hypersensitivity, improve plaque control and prevent further progression of recession defect. 2 This paper is the second in a three part series looking at the aetiology and management of gingival recession. Part one discussed the aetiology and non-surgical management and this part aims to discuss the use of pedicle soft tissue grafts in the treatment of gingival recession.…”

“…The graft should also be of an adequate thickness to prevent necrosis. 2 The height of the recession defect is not as critical as the width of the defect but will influence the choice of surgical procedure depending on the amount of attached gingival tissue available and the depth of the vestibule. 8…”

Gingival recession: part 3. Surgical management using free grafts and guided tissue regeneration

“…1 The main indications for surgical intervention to correct recession defects include the need to improve localised soft tissue aesthetics, to reduce hypersensitivity, improve plaque control and prevent further progression of recession defect. 2 Miller 3 classified gingival recession into four categories which were discussed in the second article in this series. These categories can be used to assess the recession defect present and predict the possible outcome of any periodontal plastic surgery procedure which would aim cover the recession defect and restore aesthetics.…”