Prof. Giovanni Zucchelli addresses the diagnosis and surgical treatment of deep gingival recession in the lower incisors that develops after orthodontic tooth movement or buccal malposition.
Buccal malposition of teeth can result from excessive tooth proclination beyond the cortical bone plate due to specific anatomic conditions, or it can be created or worsened by orthodontic tooth movement. This course addresses how to diagnose post-orthodontic gingival recession in the lower incisors and distinguish it from recession related to other causes.
The presentation explains how orthodontic therapy can be used to improve the prognosis for root coverage before periodontal surgery is performed, and it walks through the surgical procedure for treating this type of recession step by step, covering flap design, root coverage technique, and case selection criteria.