IADR Abstract Archives
Semilunar Coronally Advanced Flap Technique for Root Coverage: Case Report
Objectives: Gingival recession characterized by apical migration of the gingival margin from the cementoenamel junction and root exposure. Several surgical techniques are reported for the treatment of gingival recession. The goal of the present study was to evaluate the effectiveness with respect to root coverage of a semilunar coronally advanced flap technique for the treatment of Cairo Type 1 gingival recession.
Methods: A 58-year-old systemically healthy female patient presented for routine dental prophylaxis to the Selcuk University Faculty of Dentistry Department of Periodontology. Clinical examination revealed the presence of Cairo Type I buccal recession defects on the left maxillary canine tooth. Presence of adequate width of attached gingiva was noted and his smile analysis low lip line was observed. The width of attached gingiva was 5mm and demonstrated thick biotype. Oral hygiene instructions and education were given to the patient. As the first step of periodontal treatment, calculus removal was performed and the patient was recalled after 4 weeks to commence the mucogingival surgery. Semilunar incision was made extending beyond the mucogingival junction from the mesial papilla to the distal papilla of the tooth with the recession and following the curvature of the receded gingival margin. The flap was held in its new position for 3 minutes with sterile moist gauze. Sutures were not placed. A periodontal dressing was placed on surgical area.
Results: There was no difference observed in the probing depth values, at the baseline and after 1.5 year though the clinical attachment loss reduced from 2.5mm to 0.5mm after 1.5 year. Root coverage of 100% was observed.
Conclusions: Semilunar coronal advanced flap technique is a less traumatic and simple method compared to other methods. Provides satisfactory results for treating type I buccal recession with low lip line defects especially. However disadvantage of that technique left scar at the semilunar incision site.
Methods: A 58-year-old systemically healthy female patient presented for routine dental prophylaxis to the Selcuk University Faculty of Dentistry Department of Periodontology. Clinical examination revealed the presence of Cairo Type I buccal recession defects on the left maxillary canine tooth. Presence of adequate width of attached gingiva was noted and his smile analysis low lip line was observed. The width of attached gingiva was 5mm and demonstrated thick biotype. Oral hygiene instructions and education were given to the patient. As the first step of periodontal treatment, calculus removal was performed and the patient was recalled after 4 weeks to commence the mucogingival surgery. Semilunar incision was made extending beyond the mucogingival junction from the mesial papilla to the distal papilla of the tooth with the recession and following the curvature of the receded gingival margin. The flap was held in its new position for 3 minutes with sterile moist gauze. Sutures were not placed. A periodontal dressing was placed on surgical area.
Results: There was no difference observed in the probing depth values, at the baseline and after 1.5 year though the clinical attachment loss reduced from 2.5mm to 0.5mm after 1.5 year. Root coverage of 100% was observed.
Conclusions: Semilunar coronal advanced flap technique is a less traumatic and simple method compared to other methods. Provides satisfactory results for treating type I buccal recession with low lip line defects especially. However disadvantage of that technique left scar at the semilunar incision site.
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