Abstract

Case Report

Lateral Pedicle and Connective Tissue Graft – A combined approach for management of isolated gingival recession

Ramnath Elangovan*, Ramakrishnan Theyagarajan, Ebenezer Mani and Mejalla Muthiah Amaladhas

Published: 25 November, 2019 | Volume 3 - Issue 1 | Pages: 023-026

Gingival recession is defined as apical migration of the gingival epithelium leading to the exposure of root surface. There are many surgical procedures for treating gingival recessions and the main goal is to cover the exposed tooth surface by soft tissue augmentation. The surgical techniques performed for root coverage has their own advantages and limitations. The surgical technique used for managing the gingival recession is the major factor that determines the outcome and the long term result of the procedure. The most common surgical technique in treating the isolated gingival recession is the lateral pedicle graft and the surgical technique with highest percentage of root coverage is the connective tissue graft. This case report deals with the management of an isolated gingival recession with lateral pedicle and connective tissue graft. The outcome of the procedure was excellent having complete root coverage.

Read Full Article HTML DOI: 10.29328/journal.jcad.1001012 Cite this Article Read Full Article PDF

Keywords:

Gingival recession; Connective tissue graft; Lateral pedicle flap

References

 

  1. Nelson SW. The subpedicle connective tissue graft. A bilaminar reconstructive procedure for the coverage of denuded root surfaces. J Periodontol. 1987; 58: 95-102. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/3546673
  2. Langer B, Langer L. Subepithelial connective tissue graft technique for root coverage. J Periodontol. 1985; 56: 715-720. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/3866056
  3. Guinard EA, Caffesse RG. Treatment of localized gingival recessions: Part I. Lateral sliding flap. J Periodontol. 1978; 49: 351-356. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/279662
  4. Oates TW, Robinson M, Gunsolley JC. Surgical therapies for the treatment of gingival recession. A systematic review. Ann Periodontol. 2003; 8: 303-320. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/14971258
  5. Prato GP, Tinti C, Vincenzi G, Magnani C, Cortellini P, et al. Guided tissue regeneration versus mucogingival surgery in the treatment of human buccal gingival recession. J Periodontol. 1992; 63: 919-928. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/1453307
  6. Zucchelli G, Cesari C, Amore C, Montebugnoli L, De Sanctis M. Laterally moved, coronally advanced flap: A modified surgical approach for isolated recession-type defects. J Periodontol. 2004; 75: 1734-1741. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/15732880
  7. Kassab MM, Cohen RE. Treatment of gingival recession. J Am Dent Assoc. 2002; 133: 1499-1506. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/12462693

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