Mandibular Gingival Recessions: A Challenge of Achieving Complete Root Coverage in Periodontal Plastic Surgery?

Management of gingival recession has been one of the primary interests of periodontal research for many years. Periodontal plastic-aesthetic surgery has advanced due to the understanding of periodontal conditions, anatomical factors and integration of recession classification into pre-operative planning. As a result, complete root coverage is achieved frequently in most cases and has become the criterion for success. However; mandibular gingival recessions still proved to be a challenge for clinicians when widely accepted techniques that showed high predictability of root coverage were applied. To address this clinical condition on the mandible, innovations of accepted surgical procedures have been published. In the present review, we compiled and elucidated the developments made in the treatment protocols for mandibular gingival recessions.