Gingival recessions pose intricate challenges in soft tissue pathology, influenced by various causative factors and demonstrating a heightened prevalence with advancing age. The efficacy of surgical management hinges upon the accurate identification and elimination of these etiological factors, coupled with the meticulous selection and precise implementation of surgical techniques due to their inherent sensitivity. A plethora of surgical approaches has been proposed for gingival recession treatment, each with its own set of advantages and drawbacks.For optimal and enduring outcomes, it is imperative to tailor the surgical technique to individual cases, considering critical factors such as defect size, width of apical keratinized gingiva, and flap thickness. Presently, the combined use of subgingival connective tissue graft with the coronally advanced flap stands as the gold standard in gingival recession treatment.

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