Oral Biol Res.  2023 Mar;47(1):27-33. 10.21851/obr.47.01.202303.27.

Root coverage using laterally positioned flap and subepithelial connective tissue graft for the treatment of the isolated recession defects on mandibular anterior teeth: case report

Affiliations
  • 1Clinical Associate Professor, Dental Clinic Center, Pusan National University Hospital, Busan, Republic of Korea
  • 2Clinical Assistant Professor, Dental Clinic Center, Pusan National University Hospital, Busan, Republic of Korea
  • 3Associate Professor, Department of Periodontology, Dental and Life Science Institute, School of Dentistry, Pusan National University, Yangsan, Republic of Korea
  • 4Assistant Professor, Department of Periodontology, Dental and Life Science Institute, School of Dentistry, Pusan National University, Yangsan, Republic of Korea
  • 5Assistant Professor, Department of Prosthodontics, School of Dentistry, Kyungpook National University, Daegu, Republic of Korea

Abstract

When a gingival recession occurs, the amount of keratinized gingiva around the tooth is decreased, leading to hypersensitivity and esthetic issues, particularly in the anterior tooth region. To address the problems of gingival recession, root coverage with periodontal plastic surgery can be used. Among the different methods, coronally and laterally positioned flaps are the most common, both of which demonstrate a high success rate when employed for root coverage. Without sufficient keratinized gingiva below the recession area or with keratinized gingiva only on the adjacent teeth, a laterally positioned flap should be considered instead of a coronally positioned flap. The aim of the current study was to utilize a laterally positioned flap and a subepithelial connective tissue graft for root coverage to treat isolated recession defects in the mandibular anterior teeth.

Keyword

Connective tissue; Gingival recession; Periodontal attachment loss; Periodontal diseases
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