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Combining Techniques to Treat Isolated Deep Recession-Type Defects: A Case Report with Long-Term Stability
João Carnio1, Anna Tereza Carnio2
1Private Practice, Londrina, Parana, Brazil.
Case Reports in Dentistry
|July 9, 2021
Summary
This case report demonstrates a combined modified apically repositioned flap (MARF) and laterally positioned flap (LPF) technique for successful root coverage. The two-step procedure provided long-term stability and excellent esthetic results for a deep recession defect.
Area of Science:
- Periodontology
- Restorative Dentistry
Background:
- A single deep-wide recession defect at tooth #22 was treated in a 28-year-old female patient.
- The patient presented with dental anxiety and financial constraints, necessitating an alternative treatment approach.
Observation:
- A two-step root coverage procedure was employed, combining a modified apically repositioned flap (MARF) to expand the donor site, followed by a laterally positioned flap (LPF) to address the defect.
- The patient underwent a three-year follow-up evaluation.
Findings:
- The combined MARF and LPF technique resulted in complete resolution of the recession defect.
- Significant gain in clinical attachment and excellent esthetic outcomes were observed.
- The procedure was associated with minimal patient morbidity.
Implications:
- This combined technique offers a simpler, effective alternative for treating deep single recession defects.
- The method achieves ideal tissue color matching and avoids the need for palatal donor tissue.
- Long-term clinical stability and patient satisfaction were achieved.
