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Related Experiment Video

Updated: Jul 2, 2026

Engineered Vascularized Muscle Flap

Engineered Vascularized Muscle Flap

Published on: January 11, 2016

The laterally closed coronally advanced flap: A case study.

Jochen Tunkel¹, Jessica M Latimer², Luca de Stavola³

¹Private Practice, Periodontology and Oral Surgery, Bad Oeynhausen, Germany.

Clinical Advances in Periodontics

|November 18, 2024

Summary

This summary is machine-generated.

A modified laterally closed coronally advanced flap (LCAF) technique effectively treats deep gum recessions, achieving complete root coverage with minimal scarring. This innovative approach enhances oral hygiene access and resolves hypersensitivity.

Keywords:

case study connective tissue graft dental esthetics enamel matrix protein gingival recession root coverage surgical flap

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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.