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This article provides a literature review on minimally invasive mucogingival surgical techniques for the treatment of periodontal disease and intraosseous defects. It compares the effectiveness of various surgical procedures and emphasizes the importance of accurate diagnosis and comprehensive treatment planning. The review includes 34 selected articles and discusses techniques such as Entire Papilla Preservation and the Single Flap approach. The article aims to provide evidence-based information to guide clinicians in choosing regenerative periodontal surgical techniques. [Extracted from the article]

Root surface biomodification has been used to treat gingival recession and periodontitis. For example, to improve treatment efficacy of gingival recessions (GR), chemical preparation of the exposed root surface is advocated. The principle for this procedure is to remove the smear layer from the root surfaces, which leads to exposition of surface collagen fibers and improved healing. The aim of present article is to evaluate the importance of root surface biomodification after scaling and root planing (SRP) and a comparative review of various root conditioning agents. The review was written during the search for English-language literature in the Google Scholar and PubMed databases. 104 literary sources were identified during the literature review. After excluding publications that did not meet the inclusion search criteria, the total number of included articles has become 55. The instrumented root surface is always covered by a smear layer, containing remnants of dental calculus, contaminated root cementum, bacterial endotoxin and subgingival plaque after the scaling and root planning procedure. The root conditioning agents, described in this study, were found to be effective in the removal of the smear layer, able to produce uncovering and widening the dentin tubules, and unmasking the dentin collagen matrix. Within the limits of this study, the most frequently used conditioning agents are tetracycline, EDTA, and citric acid; among them Tetracycline HCL is the most reliable agent. [ABSTRACT FROM AUTHOR]

The final goal of periodontal treatment is to achieve functional and anatomical tissue regeneration. Numerous techniques have illustrated favorable effects on anatomical and functional periodontal regeneration, but long-term results are highly variable. In addition, techniques for closure of class I-II recessions have results up to 100% with high predictability, in contrast to Miller class III-IV recessions, according to the literature. This systematic review aims to define the different techniques for closure of Miller class III-IV recessions and to identify their characteristics in different clinical situations. A study of publications in the electronic databases PubMed, Google Scholar and eLIBRARY was performed through a literature review. Articles concerning various techniques for closure of class III-IV recessions were included. A total of 100 articles were reviewed during the revision process. After analyzing the literature according to the inclusion criteria, the final number of articles had become 46. The features of the various techniques as well as long-term surgical outcomes were reviewed. Many techniques should be further investigated, due to insufficient clinical data and a few number of cases. [ABSTRACT FROM AUTHOR]

Aim is to consider and analyze the possible causes of the development of localized gingival recession on the lingual surface, which can come to the aid of preventing this pathology so that reduce the risk of its occurrence. The publications in the electronic databases Google Scholar and PubMed were studied during a review of the literature, authors have selected articles the content of which concerns the study of the etiopathogenesis of gingival recession on the lingual surface. 134 articles we reviewed during the review. After analyzing the literature for inclusion criteria, the total number of publications has become 55. Conforming to the studied literature, gingival recession from lingual surface was determined to be a late complication caused by tongue piercing, ankyloglossia and orthodontic treatment including lingual orthodontic appliances. [ABSTRACT FROM AUTHOR]

Background: Current concepts in periodontology emphasize an important distinguishing aspect of the interproximal attachment, assigning its major influential significance as a key diagnostic and prognostic factor. A complete regeneration of the interproximal clinical attachment has become a primary determinant of the periodontal success. Since mid - 20th century have been published numerous articles on root coverage procedures but mostly for non-proximal gingival recessions. When it comes to the interdental area, literature does not inspire the same level of confidence., Objectives: This study is aimed to introduce an innovative 3D - Tunneling Surgical Technique for the gingival papilla reconstruction and supra-alveolar interproximal attachment regeneration., Materials and Methods: The technique is described step by step and shown on three selected clinical cases of multiple bilateral adjacent gingival recessions type 2 and 3 in the lower anterior area with follow - up results of up to 6.5 years., Results: A total of 18 proximal, mid-buccal and mid-lingual recessions were treated simultaneously. Mean root coverage up to 88.9% has been achieved in the proximal area., Conclusion: Within its limits, this study demonstrates a possibility of treating gingival recessions with deficient papilla in the mandibular anterior region, achieving a significant clinical improvement with the long-term stability.