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Case Studies | Dental Medicine | Bulgaria | Volume 12 Issue 6, June 2023
Vertically Coronally Advanced Flap with Connective Tissue Graft for Treatment of Single Miller?s Class II Recession Defect in the Anterior Zone of Mandibula: A Case Report
Irena Georgieva [6] | Zlatina Tsoneva
Abstract: Gingival recessions disturb patients aesthetically and are sometimes accompanied by increased sensitivity and an increased risk of developing caries and plaque-induced gingival inflammation in this area. The indications for treatment of gingival recessions in the frontal area of the dentition can be except aesthetic dissatisfaction for the patients, also plaque retention and dentin hypersensitivity. In dental practice there are two main groups of surgical techniques for treatment of the exposed root surface - pedicle and free soft-tissue grafting methods. When there is no enough keratinized tissues apical to the root exposure, the most popular technique that is proposed is coronally advanced flap with connective tissue graft. The literature review reports that this technique shows good results in treatment of Miller?s class I and class II gingival recessions. The aim of this case report is to present the efficiency of bilaminar technique (subepithelial connective tissue graft and vertically coronally advanced flap) for root coverage in treatment of Miller?s class II gingival recession, affecting tooth 31, in mandibular anterior region. The presented surgical technique shows satisfactory aesthetic outcome and satisfactory gain of clinical attachment level and keratinized attached gingiva. The dentin hypersensitivity in the cervical area is reduced postsurgically.
Keywords: recession defect, Miller class II, coronally advanced flap, root coverage
Edition: Volume 12 Issue 6, June 2023,
Pages: 1615 - 1619