Background: Alveolar bone and gingival recessions are predominantely found on the buccal root prominences,
especially at premolar and canine sites, where bone dehiscences and fenestrations seem to be a common morphological feature. Such anatomical variations have frequently been identified and their prevalence and severity appear to be age-dependent.In the presence of a thin and narrow zone of gingival tissue root recessions caused by trauma or inflammatory reactions seem to be a common feature of the buccal tissue morphology. The surgical coverage is mainly indicated for aesthetic reasons and may
be accomplished with pedicled flaps in conjunction with or without the use of connective tissue grafts. Aim: The purpose of the present study was to evaluate the degree of vascularization of connective tissue grafts by applying a microsurgical approach. In addition, the clinical outcome was followed for 1 year. The present controlled clinical study has demonstrated that in root surface coverage, a microsurgical approach substantially improved the vascularization of the grafts and the percentages of root coverage compared with applying a conventional macroscopic approach.
- CONNECTIVE TISSUE GRAFTS
- GINGIVAL RECESSIONS
- ROOT COVERAGE.