Aim: The aim of this case report study was to describe two different surgical techniques for treating multiple gingival recessions. Background: Multiple recessions are of concern to patients for a number of reasons: aesthetic problems, hypersensitivity, and carious or non-carious cervical lesions. However, their treatment represents a challenge in periodontal plastic surgery with difficulties added to those encountered in the management of single recessions such as the extension of the avascular surface, different depths of recessions or the position of the teeth concerned on the arch. Many techniques have been described to cover these recessions. Case description: A patient with multiple recessions of type 1 according to the Cairo classification (RT1) in the maxillary arch was treated with two different techniques of periodontal plastic surgery. On the right side, a lateral sliding flap from the edentulous ridge on the former site of the 2nd premolar was performed without the addition of a connective tissue graft. For the left side, a modified coronally advanced flap with a connective tissue graft was performed. For the right hemi-arch, a partial root coverage of 90% for the canine and the first premolar. As for the modified coronally advanced flap with a connective tissue graft, partial coverage for all the teeth concerned by the flap varied between 50 and 90%. These coverages remained stable during the 1-month and 6-month followup appointments. Conclusion: The different techniques of periodontal plastic surgery have shown their effectiveness in the treatment of multiple recessions and especially with the introduction of the technical modifications of the coronally advanced flap by Zucchelli and by the addition of a connective tissue graft.

Keywords : Multiple Gingival Recessions, Root Coverage, Surgical Flaps, Dental Esthetics