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Esthetic evaluation and patient‐centered outcomes in root‐coverage procedures
Author(s) -
Mounssif Ilham,
Stefanini Martina,
Mazzotti Claudio,
Marzadori Matteo,
Sangiorgi Matteo,
Zucchelli Giovanni
Publication year - 2018
Publication title -
periodontology 2000
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.725
H-Index - 122
eISSN - 1600-0757
pISSN - 0906-6713
DOI - 10.1111/prd.12216
Subject(s) - medicine , gingival recession , dentistry , root caries , root (linguistics) , narrative review , scaling and root planing , oral hygiene , orthodontics , periodontitis , intensive care medicine , chronic periodontitis , philosophy , linguistics
Treatment of buccal gingival recession is performed for esthetic concerns, root sensitivity, root caries and cervical abrasion resulting from incorrect toothbrushing. Over the years, clinicians and researchers have improved surgical techniques to achieve surrogate end points, such as complete root coverage, gingival recession reduction or keratinized tissue increase, ignoring the input from the patient regarding the true indications for treatment. In the past few years there has been an emphasis to include patient‐centered outcomes in the evaluation of root‐coverage procedures. The aim of this narrative review is to describe the professional objective assessment of the esthetic results after root‐coverage procedures and the patient perception of outcome in terms of esthetics, postoperative morbidity and dentinal hypersensitivity resolution after the treatment of gingival recessions. The need to align professional (surrogate) end points with patient‐centered outcomes (true end points) in the future is emphasized.