Effectiveness of Mucogingival Surgery for the Treatment of Gingival Recessions and Root Hypersensitivity

Abstract

Treatment of gingival recessions with hypersensitivity could be quite challenging for clinical practice and includes: establishing optimal plaque control, removal of plaque-retentive subgingival restorations, elimination of risk factors, removal of parafunctions and occlusal trauma, and use of desensitizing agents. If a surgical approach is indicated, coronary displaced flap or tunnel technique procedures, combined with connective tissue grafting (with or without Emdogain or hyaluronic acid gel), are considered as most predictable treatment options for single and multiple gingival recessions. If the patient or clinician considers to avoid a second surgery in the donor site area by taking a connective tissue graft from the palate, acellular dermal matrices and collagen matrices can be used as an alternative treatment option. In cases of gingival recessions associated with non- carious cervical lesions (NCCL), a combined restorative surgical approach may provide favorable clinical outcomes. In case patient refuses surgical intervention or has other contraindications for a surgical approach, gingival recessions with hypersensitivity could be treated by prophylactic and conservative methods.