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� Class I Surgical Root Coverage Classification of G<strong>in</strong>gival Recession � Marg<strong>in</strong>al tissue recession which does not extend to the mucog<strong>in</strong>gival junction � No periodontal bone loss <strong>in</strong> the <strong>in</strong>terdental area � 100% root coverage Miller PD. Int J Periodontics Restorative Dent 1985;5:8-13 � Class III � Marg<strong>in</strong>al tissue recession which extends to or beyond the mucog<strong>in</strong>gival junction � Bone or soft tissue loss <strong>in</strong> the <strong>in</strong>terdental area or malposition<strong>in</strong>g of the teeth, prevent<strong>in</strong>g 100% root coverage � Partial root coverage Miller PD. Int J Periodontics Restorative Dent 1985;5:8-13 Conditions Necessary for Successful Root Coverage � Appropriate case selection � Sufficient blood supply ensured to donor tissue � Root surface covered with thick donor tissue � Donor tissue adapted closely to the recipient site and sutured � Class II � Marg<strong>in</strong>al tissue recession which extends to or beyond the mucog<strong>in</strong>gival junction � No periodontal loss <strong>in</strong> the <strong>in</strong>terdental area � 100% root coverage Miller PD. Int J Periodontics Restorative Dent 1985;5:8-13 � Class IV � Marg<strong>in</strong>al tissue recession which extends to or beyond the mucog<strong>in</strong>gival junction � Severe bone or soft tissue loss <strong>in</strong> the <strong>in</strong>terdental area and/or malposition<strong>in</strong>g of teeth � No root coverage Miller PD. Int J Periodontics Restorative Dent 1985;5:8-13 4
Free Autogenous G<strong>in</strong>gival Graft Root Coverage Us<strong>in</strong>g Free Autogenous G<strong>in</strong>gival Grafts � Disadvantages � Poor ability to provide blood supply to the graft for root coverage � Exposed deep and large wound on the palatal mucosa � Inferior esthetic results due to scarr<strong>in</strong>g � <strong>Surgery</strong> required <strong>in</strong> 2 areas Root Coverage Us<strong>in</strong>g Free Autogenous G<strong>in</strong>gival Grafts � Indications � All cases where root coverage is necessary except when a graft of sufficient thickness (1.5-2.0 mm) cannot be harvested � Contra<strong>in</strong>dications � Extensive g<strong>in</strong>gival recession � Esthetic cases 5
Page 1 and 2: Periodontal <stron
Page 3: Gingival Recession
Page 7 and 8: Connective Tissue Grafts � 88% ro
Page 9 and 10: � Advantages � Gain</st
Page 12 and 13: Preparation of the Periodontium for

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