Periodontal Plastic Surgery ( PPS ) techniques applying grafts underneath CAF with or without the adding of EMD are associated with improved aesthetics assessed by final patient perception and RES as professional evaluation system
BACKGROUND The aim of this study was to perform a systematic review ( SR ) of r and omized controlled trials ( RCTs ) to explore if periodontal plastic surgery procedures for the treatment of single and multiple gingival recessions ( Rec ) may improve aesthetics at patient and professional levels .
A comparison of methods of aesthetic assessment in root coverage procedures.
AIM To evaluate the reliability of professional qualitative scoring methods used in evaluating aesthetic results after  root coverage therapy and to evaluate the relationship between subjective and objective measurements . MATERIAL AND METHODS A review panel of seven professional and non-professional , trained and untrained observers used photographic records to assess the overall cosmetic results of 162 root coverage surgical procedures in 133 patients ( mean follow-up 17.51+/-17.37 months ) . Two different methods were used . In the before-after panel scoring system , observers evaluated the difference between preoperative and postoperative views , whereas in the r and om panel scoring system , observers rated each photograph independently . RESULTS For both methods , intrarater agreement ranged from substantial to almost perfect for the periodontists . The best interrater agreement was found for trained periodontists using the five-point ordinal scale of the before-after panel scoring system ( kappa=0.68 ) . Neither root coverage percentage nor gingival augmentation was correlated to cosmetic assessment . CONCLUSIONS The before-after scoring system is an acceptable and reliable method for professional cosmetic assessment of root coverage therapy . The overall cosmetic evaluation does not appear to be related to the percentage of root coverage
Periodontal Plastic Surgery ( PPS ) techniques applying grafts underneath CAF with or without the adding of EMD are associated with improved aesthetics assessed by final patient perception and RES as professional evaluation system
BACKGROUND The aim of this study was to perform a systematic review ( SR ) of r and omized controlled trials ( RCTs ) to explore if periodontal plastic surgery procedures for the treatment of single and multiple gingival recessions ( Rec ) may improve aesthetics at patient and professional levels .