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Novel Surgical Approach for Root Coverage Using Coronally Advanced Flap in Conjunction With Transposition of
Seepana Swathi1, K Raja V Murthy1, D Trinath Kishore1
1Department of Periodontics and Oral Implantology, Gandhi Institute of Technology and Management (GITAM) Dental College and Hospital, Visakhapatnam, Andhra Pradesh, India.
Introduction:
Gingival recession is a complex phenomenon with multifactorial etiology. It is defined as the apical migration of the soft tissue margin beyond the cemento-enamel junction, thereby exposing the root surface. It results in the destruction of both soft and hard tissues.
Case Presentation:
Three patients with buccal gingival recession defects underwent surgical treatment consisting of transposition of a periosteal pedicle in conjunction with the coronally advanced flap (CAF) technique. As the cambium layer of the periosteum has greater osteoblastic potential than the fibrous layer, this study considered juxtaposing of the cambium layer directly onto the denuded root surface. A 9-month review demonstrated satisfactory: root coverage; gain in clinical attachment, reduction in probing depth; and increase in width of keratinized gingiva with a good color match and minimal scarring.
Conclusion:
Within the limits of the study, this CAF technique, in conjunction with the cambium layer of periosteum, showed a significant amount of root coverage.
