Mucogingival surgery was first discussed in 1957 by Friedman to
include procedures aimed at preserving or increasing keratinised tissue
Nowadays
the emphasis has changed and we are much more focused on replacing lost
tissue and covering root surfaces that are of aesthetic or functional
concern
True
gingival recession will not correct itself.
In
the literature there are numerous problems with measurements of recession.
One paper noted that “a slight recession in a facially displaced mandibular
incisor was reversed after self-alignment” (Andlin-Sobocki et al J Clin
Perio 1993)
Creeping
attachment “spontaneous improvements” may be
associated with a similar phenomenon as creeping attachment with 0.8mm
increase in attachment observed over first year after grafting. Very
unlikely to have any improvement if little or no keratinised tissue exists.
Graft 6 months post-operatively
Graft 3 years
post-operatively (the same patient)
