Authors :
Khaireddine Hamdane; Wafa Nasri; Chaima Hammemi; Haithem Moussa; Rania Gargouri
Volume/Issue :
Volume 6 - 2021, Issue 11 - November
Google Scholar :
http://bitly.ws/gu88
Scribd :
https://bit.ly/3lKhnFA
Abstract :
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
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
