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Root coverage in a class IV recession defect achieved by creeping attachment: a case report
Luiz Armando Chambrone1, Leandro Chambrone
1Division of Periodontics, Faculty of Dentistry, Methodist University of São Paulo, São Bernardo do Campo, Brazil. luiz.chambrone@metodista.br
Journal of the International Academy of Periodontology
|April 21, 2006
Summary
Complete root coverage of severe gum recession was achieved using a laterally repositioned flap. Long-term follow-up showed stable, attached gingival tissue and improved aesthetics.
Area of Science:
- Periodontology
- Regenerative Dentistry
Background:
- Severe gingival recession (Miller's class IV) presents a significant clinical challenge.
- Root coverage procedures aim to restore lost gingival tissue and improve aesthetics.
Observation:
- A laterally repositioned flap was used for root coverage on a maxillary central incisor with 7mm recession.
- Initial healing showed partial root coverage, with complete coverage observed over an 8-year period.
Findings:
- Creeping attachment led to complete root coverage of the denuded root surface.
- The gingival margin remained stable, with firm tissue attachment and shallow sulcular depth after 8 years.
Implications:
- Long-term stability and aesthetic improvement are achievable for severe recession defects.
- This case highlights the potential of creeping attachment following flap surgery for successful root coverage.