Two-Stage Surgical Procedure with Free Gingival Graft and Coronally Advanced Flap in Treatment of Recession Type 1: A Case Series

Year 2022, Volume: 3 Issue: 2, 49 - 55, 31.12.2022

Basem Alshujaa , Dicle Altındal , Ahmet Cemil Talmaç , Mohammad Alnasrallah

Abstract

Gingival recession is a
multifactorial problem happened due to
various reasons and could be defined as the
apical shift of the gingival margin. It can be
easily diagnosed when root exposure occurred
as a result of previous alveolar bone loss under
the gingiva. This condition may have
important esthetic, functional, and periodontal
health implications. Esthetic concerns and
dentin hypersensitivity caused by gingival
recession are the main reasons that encourage
the patient to seek periodontal treatment. The
primary goal of any surgical approach for
treating gingival recession defects will be
complete root coverage (CRC) resulting in pain
relief and prevention of further progression.
One of the common surgical procedures for
gingival recession treatment is periodontal
mucogingival plastic surgery using free
gingival graft and subepithelial connective
tissue graft. In this case series, three cases
presenting with “Cairo recession type 1”
isolated gingival recession were treated by free
gingival graft and coronally advanced flap
without subepithelial connective tissue graft
using two-stage surgical technique. The result
after follow-up of our cases showed a
significant increase in attached gingiva, longterm root coverage (RC) has been obtained and
the complaints of patients were resolved.

Keywords

Free gingival graft, gingival recession, root coverage

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