Root coverage with a modified laterally positioned flap combined with a subepithelial connective tissue graft in advanced recession.
10.5051/jpis.2014.44.6.300
- Author:
Chun Teh LEE
1
;
Po Chun CHANG
;
Nawar TOUCHAN
;
Daniel ROYZMAN
Author Information
1. Division of Periodontology, Department of Oral Medicine, Infection and Immunity, Harvard School of Dental Medicine, Boston, MA, USA.
- Publication Type:Case Report
- Keywords:
Case reports;
Gingival recession;
Periodontics
- MeSH:
Connective Tissue*;
Follow-Up Studies;
Gingival Recession;
Humans;
Hypersensitivity;
Periodontics;
Pliability;
Transplants*
- From:Journal of Periodontal & Implant Science
2014;44(6):300-306
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: A laterally positioned flap (LPF) combined with a subepithelial connective tissue graft (SCTG) is one of the conventional approaches for resolving gingival recession defects, with the advantages of flap flexibility and extended coverage of the tissue graft. However, thus far, evidence is lacking for the use of this technique for the treatment of advanced gingival recession defects. This report discusses three Miller class III cases with interproximal bone loss and wide and deep defects treated with a combination procedure of a modified laterally positioned flap (mLPF) and SCTG. METHODS: mLPF combined with SCTG was performed for each case. The defect size and the degree of hypersensitivity at baseline and the final appointment in each case were documented. RESULTS: The three cases had a mean initial defect of 7.7+/-1.5 mm and a mean residual defect of 1.7+/-1 mm at the 6-, 3-, and 36-month follow-up, respectively, after the root coverage surgery. The symptom of hypersensitivity was improved, and the patients were satisfied with the clinical outcomes. CONCLUSIONS: The results demonstrated that the combination of mLPF with SCTG is promising for treating these advanced cases with respect to obtaining the expected root coverage with the gingival tissue.
