Multiple marginal tissue recession treated with a simplified lateral sliding flap technique

Area of Science:

• Dentistry
• Periodontology
• Oral Surgery

Background:

• Marginal tissue recession is a prevalent esthetic concern, often causing dentin sensitivity and patient anxiety about tooth loss.
• While lateral sliding flaps are effective for localized recession, their application for multiple recession sites is less common.
• Existing techniques for multiple recessions can be complex, necessitating simpler, effective alternatives.

Purpose of the Study:

• To describe a modified Nelson technique for covering multiple marginal tissue recessions in a single session.
• To evaluate the efficacy of a modified lateral sliding flap combined with a connective tissue graft for treating extensive gum recession.
• To report the esthetic and functional outcomes of this surgical modification.

Main Methods:

• A modified Nelson technique was employed, combining a lateral sliding flap with a connective tissue graft.
• The surgical procedure excluded the double papilla technique, simplifying the overall approach.
• Treatment was performed on teeth #23 to #25, focusing on root coverage and increasing keratinized tissue.

Main Results:

• Complete root coverage was achieved following the surgical intervention.
• Significant reduction in dentin sensitivity was observed post-operatively.
• An increase in the band of keratinized tissue and gingival thickness was noted.
• The modified technique demonstrated adequate healing and predictable outcomes.

Conclusions:

• The modified Nelson technique offers a simplified yet effective method for treating multiple marginal tissue recessions.
• This approach provides predictable root coverage, enhanced gingival thickness, and improved esthetics.
• The procedure resulted in both functional and esthetic success for the patient, addressing sensitivity and recession concerns.