The laterally closed coronally advanced flap: A case study.

Area of Science:

• Periodontal surgery
• Regenerative dentistry
• Oral health treatments

Background:

• Traditional treatments for deep Cairo Class RT1 recessions often result in scar tissue or require complex tunneling.
• Deep gum recessions can cause hypersensitivity and impede oral hygiene, necessitating effective surgical solutions.
• Existing techniques may lead to insufficient keratinized gingiva or visible scarring post-surgery.

Observation:

• A modified laterally closed coronally advanced flap (LCAF) technique was applied to a patient with a deep Cairo Class I recession.
• The procedure involved a subepithelial connective tissue graft and enamel matrix derivative.
• The case was monitored for six months post-operation.

Findings:

• The modified LCAF technique resulted in uneventful healing and complete root coverage after six months.
• Patient experienced complete resolution of hypersensitivity and improved oral hygiene access.
• Minimal visible scar tissue formation was observed.

Implications:

• The modified LCAF technique presents a feasible and effective alternative for treating single deep RT1 recessions.
• Avoiding relieving incisions minimizes scar tissue, improving aesthetic outcomes.
• This technique allows for adequate coronal advancement, crucial for successful root coverage in deep recessions.