Next to the so-called “white aesthetic” of the tooth, the “pink aesthetic” of the gingiva is playing a major role. Would the gingival anatomy be marred by recessions, the dentogingival harmony would be significantly impaired. Functional disability would also gradually evolve together with the enlarging of these mucogingival defects.
Hence gingival recessions should be addressed surgically to rebuild the lost tissues and cover the roots. However gingival recessions are often associated with dental cervical lesions. Therefore, any surgical attempt should rely on a dual analysis of both the soft tissue defects themselves and their close dental environment.
Periodontal plastic surgery has gradually evolved since the mid-80s, such as today the clinician is facing a confusing galaxy of different techniques, none of which being equivalent in terms of esthetics and risk management. The treatment concept that will be presented is based the safe proven mini-invasive tunnel technique, but surpasses the previous therapeutic proposals by new anchored suture designs, new management of the connective tissue grafts, as well as new simplified decision tree integrating soft tissue and cervical defect characteristics.
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