Point of Care
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چکیده
Background In recent years the roles of esthetics and patient comfort have become increasingly important in dentistry. Paralleling this development, the role of root coverage procedures to treat gingival recession has gained more importance in periodontics. Gingival recession and its corollary, root exposure, may result in several undesirable sequelae, including compromised esthetics; root sensitivity; loss of root structure because of abrasion, abfraction or caries; and compromised plaque control. Resin-bonded restorations are often used to treat these conditions but are less than perfect. They often lead to additional (iatrogenic) recession, do not restore normal gingival architecture and do not facilitate optimal plaque control by the patient. Furthermore, these restorations require periodic replacement, which inevitably results in the removal of additional tooth structure. Clearly, a more biologically acceptable and desirable outcome in terms of enhancing esthetics, minimizing the risk of further recession, treating dentinal hypersensitivity and arresting the loss of additional root structure would be restoration of the lost gingival tissue. Certainly any procedure that mitigates the risk of further recession is desirable. Predictable coverage of exposed roots is possible in well-defined clinical situations, and several different treatment modalities can be employed with good success.
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