CORONALLY ADVANCED FLAP TECHNIQUE FOR ROOT COVERAGE IN THE AESTHETIC ZONE OF UPPER JAW

Abstract

Introduction: Different surgical techniques (pedicle and free soft-tissue grafting) are proposed for treatment of the exposed root surface in the aesthetic zone of dentition. A coronally advanced flap is a suitable technique that can be used for root coverage in treatment of gingival recessions of single tooth as well as multiple teeth. Two different techniques of the coronally advanced flap are proposed: trapezoidal flap and triangular flap. Clinicians tend to use a surgical approach which could be minimally invasive as possible. This can be achieved by periodontal microsurgical technique. Microsurgical instruments with suitable magnification devices and illumination would be predominantly proposed. Purpose: The aim of this case report is to demonstrate the comparison in therapeutic outcome between coronally advanced flap technique with a microsurgical approach and coronally advanced flap technique with a conventional approach for root coverage in the aesthetic zone of upper jaw. Material and methods: Miller’s class I gingival recessions, affecting tooth 11 and tooth 12, are established. A microsurgical approach is used in the treatment of tooth 11 and conventional coronally advanced flap in case of tooth 12. Results: Complete root coverage and gain of clinical attachment level are achieved in both approaches. Conclusion: This case report demonstrates similar results in both approaches – conventional and microsurgical ones.