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Related Experiment Videos

A combined flap for root coverage.

F Milano1

  • 1Department of Periodontology, University of Bologna Dental School, Italy. emilsild@tin.it

The International Journal of Periodontics & Restorative Dentistry
|May 13, 1999
PubMed
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A novel mucogingival surgical technique offers effective root coverage for gingival recession. This single-step procedure achieved 84% mean root coverage, enhancing both function and aesthetics.

Area of Science:

  • Periodontology
  • Oral Surgery
  • Regenerative Dentistry

Background:

  • Gingival recession affects numerous patients, leading to root exposure and aesthetic concerns.
  • Existing mucogingival techniques often require multiple surgical sites or procedures.

Purpose of the Study:

  • To introduce and evaluate a new single-step mucogingival surgical technique for root coverage.
  • To assess the efficacy and aesthetic outcomes of this novel technique in treating gingival recession.

Main Methods:

  • A two-flap approach was utilized: a partial-thickness epithelial-connective flap covered a connective double-papilla flap placed on the exposed root surface.
  • The technique was applied to 11 patients with gingival recession measuring 3-5 mm.

Main Results:

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  • After 12 months, an average root coverage of 84% was achieved, with a mean recession reduction of 2.7 mm.
  • Adequate width and thickness of keratinized gingiva were obtained.
  • The procedure resulted in favorable colour and morphological harmony with surrounding tissues.

Conclusions:

  • The proposed mucogingival surgical technique is effective for root coverage in cases of moderate gingival recession.
  • Advantages include a single-step procedure, elimination of a second donor site, and excellent aesthetic results.