The effectiveness of allogeneic dura mater for the preventive surgical treatment of single and multiple gingival recessions before orthodontic treatment with fixed orthodontic appliances: a clinical research

Relevance . Gingival recessions are frequent during or after orthodontic treatment with fixed appliances (65.0-86.7%). They usually observed in anterior teeth, especially teeth bodily movements along an archwire outside the bone buccal/ labial tipping more than five degrees axis (35%). Pre-existing worsen and up to 5 years (47%). The of is not strategically reasonable: relapse rate high, implies large-scale surgical interventions, including osteoplastic surgery; it often performed free gingival de-epithelized graft treatment, which has many comparative disadvantages. Purpose – study aimed evaluate effectiveness a material (allogeneic dura mater) eliminate before create/ thicken volume gum buccally/ labially prevent rec eding treatment. Materials methods paper presents closely analyzes preventive patient pretreatment recessions. Results In all cases, using mater demonstrates positive clinical result by parameters recession assessment. percentage root coverage 100% teeth. Conclusion Preventive reasonable cases as eliminates need for repeated excludes onset well reappearance Dura effective safe cases; response surgery normal, allows avoiding second field. We recommend standard protocol orthodonti c