Root coverage with a modified laterally positioned flap combined with a subepithelial connective tissue graft in advanced recession
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Purpose: A laterally positioned flap (LPF) combined with a subepithelial connective tissuegraft (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 advancedgingival recession defects. This report discusses three Miller class III cases with interproximalbone loss and wide and deep defects treated with a combination procedure of a modifiedlaterally positioned flap (mLPF) and SCTG. Methods: mLPF combined with SCTG was performed for each case. The defect size and thedegree 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 defectof 1.7±1 mm at the 6-, 3-, and 36-month follow-up, respectively, after the root coveragesurgery. The symptom of hypersensitivity was improved, and the patients were satisfiedwith the clinical outcomes. Conclusions: The results demonstrated that the combination of mLPF with SCTG is promisingfor treating these advanced cases with respect to obtaining the expected root coveragewith the gingival tissue.
Abstract
Purpose: A laterally positioned flap (LPF) combined with a subepithelial connective tissuegraft (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 advancedgingival recession defects. This report discusses three Miller class III cases with interproximalbone loss and wide and deep defects treated with a combination procedure of a modifiedlaterally positioned flap (mLPF) and SCTG. Methods: mLPF combined with SCTG was performed for each case. The defect size and thedegree 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 defectof 1.7±1 mm at the 6-, 3-, and 36-month follow-up, respectively, after the root coveragesurgery. The symptom of hypersensitivity was improved, and the patients were satisfiedwith the clinical outcomes. Conclusions: The results demonstrated that the combination of mLPF with SCTG is promisingfor treating these advanced cases with respect to obtaining the expected root coveragewith the gingival tissue.
참고문헌 (26)
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