Shallow localized gingival recession defects treated with modified coronally repositioned flap technique: A case series

ABSTRACT

Objectives: Various coronally repositioned flap (CRF) techniques have been proposed for coverage of gingival recession defects. Although CRF has several modifications all of them needs vertical or oblique external releasing incisions for treatment of localized gingival recession defects. The aim of present article was to evaluate the effectiveness of a modification of the new CRF procedure without any releasing incision for treatment of shallow localized gingival recession defects. Conclusion: Shallow localized gingival recession defects can be treated with modified coronally repositioned flap technique successfully.

Key words:

Coronally repositioned flap - gingival recession - mucogingival surgery

• REFERENCES

• 1 Lucchesi JA, Santos VR, Amaral CM, Peruzzo DC, Duarte PM. Coronally positioned flap for treatment of restored tooth surfaces: A 6-m clinical evaluation. J Periodontol 2007; 78: 615-23
• 2 Kassab MM, Cohen RE. Treatment of gingival recession. J Am Dent Assoc 2002; 133: 1499-506
• 3 Allen EP, Miller PD. Coronal positioning of existing gingiva: Short term results in the treatment of shallow marginal tissue recession. J Periodontol 1989; 5: 316-9
• 4 De Sanctis M, Zucchelli G. Coronally advanced flap: A modified surgical approach for isolated recession type defects. Three-year results. J Clin Periodontol 2007; 34: 262-8
• 5 Amarante SE, Leknes KN, Skavland J, Lie T. Coronally positioned flap procedures with or without a bioabsorbable membran in the treatment of human gingival recession. J Periodontol 2000; 71: 989-98
• 6 Silva RC, Joly JC, Lima AF, Tatakis DN. Root coverage using the coronally positioned flap with or without a subepithelial connective tissue graft. J Periodontol 2004; 75: 413-9
• 7 Tatiana M, Deliberadora TM, Boscob AF, MArtinsc TM, NAgatab MJ. Treatment of gingival recessions associated to cervical abrasion lesions with subepithelial connective tissue graft: A case report. Eur J Dent 2009; 3: 318-23
• 8 Ustun K, Sarý Z, Orucoglu H, Duran I, Hakký SS. Severe gingival recession Ccaused by traumatic occlusion and mucogingival stress: A case report. Eur J Dent 2002; 2: 127-33
• 9 Roccuzzo M, Bunino M, Needleman I, Sanz M. Periodontal plastic surgery for treatment of localized gingival recessions: A systematic review. J Clin Periodontol 2002; 29: 178-94
• 10 Harrýs RJ, Harrýs AW. The coronally positioned pedicle graft with inlaid margins: A predictable method of obtaining root coverage of shallow defects. Int J Per Rest Dent 1994; 14: 228-41
• 11 Tarnow DP. Semilunar coronally repositioned flap. J Clin Periodontol 1986; 13: 182-5
• 12 Raetzke PB. Covering localized areas of root exposure employing the ′envelope′ technique. J Periodontol 1985; 56: 397-402
• 13 Zabalegui I, Sicilia A, Cambra J, Gil J, Sanz M. Treatment of multiple adjacent gingival recessions with the tunnel subepithelial connective tissue graft: A clinical report. Int J Periodontics Restorative Dent 1999; 19: 199-206
• 14 Baldi C, Pini Prato G, Paqliaro U, Nieri M, Saletta D, Muzzi L, Cortellini P. Coronally advanced flap procedure for root coverage. Is flap thickness a relevant predictor to achieve root coverage? A 19 case series. J Periodontol 1999; 70: 1077-84
• 15 Zucchelli G, Santics M. Treatment of multiple Recession type defects in patients with esthetic demands. J Periodontol 2000; 71: 1506-14