Periodontal Plastic Surgery

Abstract

Esthetic excellence in restorative dentistry mimics the natural shape and color of the teeth. Periodontal plastic surgical procedures have the ability to assist the restorative dentist and patient to achieve beautiful results. When performing microsurgery, small microsurgical instruments can help make the surgical procedure less invasive and less traumatic. It has been shown that periodontal root coverage procedures are highly predictable for Class I and II recessions even when root surface defects are present. The addition of a connective tissue graft to cover root surfaces could raise the concern for creation of a periodontal pocket. Gingival augmentation of the lost interdental papilla has been very challenging due to the small area in which to work. Allogenic tissue has become popular owing to the unnecessary palatal wound and the unlimited supply of donor tissues, allowing the surgeon to treat many areas of gingival recession in one sitting.