Professor Giovanni Zucchelli

  • Doctor in Dentistry
  • Professor of Periodontology Bologna University
  • PhD in Medical Biotecnology applied to Dentistry
  • Active member of Italian Society of Periodontology and European Federation of Periodontology
  • Member of the Editorial Board of the European Journal of Esthetic Dentistry
  • Winner of scientific prizes for the research in periodontology in Europe and USA
  • Authors of scientific publications in the fields of Periodontology and two text books on soft tissue plastic surgery

Treatment of gingival recession has become an important therapeutic issue due to the increasing number of cosmetic request from patients. Patients aesthetic demand, due to the exposure, during smiling or function, of portions of the root surface, is the main indication for root coverage surgical procedures. Very often the most coronal millimeter/s of the root exposure is the only visible part of the recession when smiling, therefore the presence and/or the persistence after therapy, even of a shallow recession may be an aesthetic problem for the patient. Thus, complete root coverage, up to the cemento-enamel junction, is the goal to be achieved when patient complains about the aesthetic appearance of his/her teeth.

Another factor to be considered is most frequently gingival recessions affect group of adjacent teeth In order to minimize the number of surgeries and to optimize the aesthetic result, all the contiguous recessions should be treated at the same surgical time. A new approach of the coronally advanced flap has been used to treat multiple recession defects affecting adjacent teeth in patients with aesthetic demands. This surgical technique has been demonstrated to achieve complete root coverage in all treated recessions in most of the patients irrespective to the number of recessions treated in each intervention. These outcomes can be long term maintained.

The recession of the buccal soft tissue margin is a frequent complication of well integrated dental implants. The appearance of metallic structure or even their transparency through the thin buccal soft tissues are the most common reasons for patient aesthetic complains. Soft tissue plastic surgical procedures and bilaminar techniques in particular, can be successfully used to treat buccal gingival recessions around dental implants and to increase the thickness of buccal soft tissue before implant installation.