Multiple Recession Coverage Using Pericardium Membrane

Anatomical characteristics, periodontal diseases and toothbrushing trauma make the management of multiple, adjacent, recession-type defects (MARTDs) particularly challenging. Even though connective tissue grafting is considered the gold standard in management, it has limitations, such as a second surgical site and limited amount of donor graft. Porcine pericardium membrane (PPM) is a reliable soft-tissue substitute with a three-dimensional collagen network that exhibits better stability, slow degradation, high-tear resistance, good handling properties and enhanced vascularization. This article describes the use of PPM, along with modified coronally advanced flap (Zucchelli’s technique), in treating Millers Class I and II gingival recession in a 38-year-old male patient. Satisfactory outcomes were observed in gingival recession depth and clinical attachment loss from the baseline to six months postoperative. Two-thirds of the sites showed 100% root coverage. The mean root coverage achieved was 88.8%. A significant increase in the width of keratinized tissue was observed after six months of followup. The PPM was safe and healed uneventfully.