Comparison of Clinical and Aesthetic Results of Different Techniques in the Treatment of Gingival Recession

After the routine clinical and radiological periodontal evaluation of every patient applying to the periodontology department, phase-I periodontal treatment is first applied to every patient diagnosed with periodontal disease. Patients are then given the necessary information to ensure plaque control. Gingival recessions that make mechanical cleaning of the patient difficult and the dentine sensitivity reported by the patient due to these recessions make plaque control difficult for the patient. It is routinely applied to patients who are found to have gingival recessions that cause these problems. These applications vary depending on the withdrawal type.

In patients with gingival recession who apply to the periodontology department, gingival recession closure operations performed with subepithelial connective tissue graft, laterally placed flap, coronally placed flap, modified coronally placed flap, tunnel technique, vestibular incision and subperiosteal tunnel access technique are preferred. The change and recovery status of the patients after the treatments are evaluated and followed up with routine photographs.

Photographs of the procedures and the wound area during and after the operations are taken and stored in the clinic photo archive.

Objective success after root closure procedures is monitored with clinical records and measurements at regular intervals. Success after root closure is evaluated in two categories: clinical and aesthetic success. Clinical success; The reduction in withdrawal depth is determined by measuring clinical binding gain. To determine these, clinical measurements of the patients at the beginning, 1st month, 3rd month, 6th month and 12th month are recorded and photographs are taken. At the same time, since there are other factors that affect both aesthetic and clinical success, the type of recession, aesthetic complaints, sensitivity and brushing effectiveness are recorded before and after treatment. For this reason, the amount of recession, keratinized tissue (mm), clinical attachment level, plaque index, pocket depth, papilla width and height values are recorded and compared in the initial and follow-up examinations of the patients.

Individual choice: