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Modified Dufourmentel Flap With Connective Tissue Grafting for Predictable Gingival Cleft Management: A Case Report
Ruchi Harish1, Saravanan Sampoornam Pape Reddy1, Shaili Pradhan2
1Department of Periodontology Army Dental Centre (Research & Referral) New Delhi India.
Clinical Case Reports
|September 25, 2025
Summary
A microsurgical modified Dufourmentel flap with connective tissue grafting effectively eliminated gingival clefts and achieved complete root coverage. This technique enhanced attached gingiva and keratinized tissue, demonstrating long-term stability for mucogingival defects.
Area of Science:
- Periodontology
- Microsurgery
- Regenerative Dentistry
Background:
- Gingival clefts and recession increase microbial invasion, inflammation, and marginal tissue instability.
- Prompt intervention is crucial to prevent progression into complex mucogingival problems.
Purpose of the Study:
- To report a case of successful treatment for a gingival cleft and recession using a modified Dufourmentel flap and connective tissue grafting.
- To evaluate the long-term stability and efficacy of this microsurgical approach.
Main Methods:
- A two-stage microsurgical approach utilizing a modified Dufourmentel flap combined with connective tissue grafting was performed.
- The procedure aimed for complete cleft elimination and simultaneous root coverage.
Main Results:
- Two-year follow-up showed 100% recession coverage and complete cleft elimination.
- Significant increases were observed in attached gingiva (1mm to 3mm) and keratinized tissue (2mm to 4mm).
- Marginal gingiva remained stable, with no reported patient morbidity.
Conclusions:
- The microsurgical modified Dufourmentel flap with connective tissue grafting offers a reliable and stable solution for gingival clefts and recession.
- This technique enhances soft tissue dimensions and achieves predictable long-term outcomes in mucogingival reconstruction.
