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Related Experiment Video

Updated: Jan 19, 2026

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps
07:57

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps

Published on: December 5, 2025

211

Root coverage with coronally advanced flap:6-year follow-up.

B Kanmaz1, M G Kanmaz2, B Kaval3

  • 1Department of Periodontology, Faculty of Dentistry, İzmir Demokrasi University, Izmir, Turkey.

Australian Dental Journal
|September 9, 2019
PubMed
Summary

Long-term root coverage using the coronally advanced flap (CAF) technique showed significant reduction in root coverage over six years, suggesting a high relapse risk without regular follow-ups. This highlights the importance of consistent patient monitoring for sustained results in treating gingival recession.

Keywords:
Dental estheticsgingival recessionlong-term effects surgerysurgical flaps

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Area of Science:

  • Periodontology
  • Microsurgery
  • Regenerative dentistry

Background:

  • Gingival recession affects numerous patients, leading to aesthetic concerns and increased tooth sensitivity.
  • Coronally advanced flap (CAF) surgery is a common technique for root coverage.
  • Long-term stability of root coverage outcomes without maintenance is not well-established.

Purpose of the Study:

  • To evaluate the long-term stability of root coverage achieved with CAF procedures.
  • To assess the outcomes of root coverage in isolated gingival recessions over a 6-year period.
  • To determine the influence of a lack of regular follow-up on root coverage maintenance.

Main Methods:

  • Microsurgical CAF technique was employed to treat recession defects.
  • Clinical parameters including probing depth, clinical attachment level, and recession measurements were recorded at baseline, 6 months, and 6 years.
  • Root coverage percentages and complete root coverage rates were calculated.

Main Results:

  • Mean root coverage significantly decreased from 95.06% at 6 months to 69.27% at 6 years (P < 0.05).
  • Complete root coverage rates declined from 75% at 6 months to 50% at 6 years, though this was not statistically significant.
  • A substantial loss of root coverage was observed over the long term.

Conclusions:

  • Root coverage achieved with CAF demonstrates a significant decline over 6 years without a regular control program.
  • The study suggests a high risk of relapse, potentially linked to inadequate follow-up and continued aggressive brushing habits.
  • Maintaining root coverage long-term may necessitate consistent patient recall and management of contributing factors.