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Bridge flap technique as a single-step solution to mucogingival problems: A case series
Vivek Gupta1, Vivek K Bains, Ranjana Mohan
1Department of Periodontology, Saraswati Dental College and Hospital, Lucknow, India.
Contemporary Clinical Dentistry
|September 30, 2011
Summary
The bridge flap technique effectively addresses multiple mucogingival issues, including shallow vestibules and gingival recession, in a single surgical step. This method offers significant root coverage and increased attached gingiva width with low patient morbidity.
Area of Science:
- Periodontology
- Oral Surgery
Background:
- Mucogingival problems like shallow vestibules, gingival recession, inadequate attached gingiva (AG), and aberrant frenum pull often require multiple surgical interventions.
- Existing treatments for these conditions are typically independent and address each issue separately.
Observation:
- A case series evaluated the bridge flap technique in eight patients with 18 teeth experiencing Millers class I, II, or III recession, alongside other mucogingival concerns.
- Patients were followed for up to 9 months post-surgery.
Findings:
- The bridge flap technique demonstrated effectiveness as a single-step procedure for simultaneous correction of multiple mucogingival problems.
- Mean root coverage achieved was 55%, with an average gain of 3.5 mm in AG width and a 41% increase in clinical attachment level.
- The procedure resulted in low morbidity due to the absence of palatal donor tissue.
Implications:
- The bridge flap technique offers a simplified, single-intervention solution for complex mucogingival defects, reducing chair-time and patient discomfort.
- This approach presents considerable advantages over traditional, multi-step mucogingival surgeries.