Connective Tissue Graft with Coronally Advanced Flap for Complete Root Coverage in the Aesthetic Area: A Case Report

Kissa J and Saloui S*

Department of periodontology, University Hassan II of Casablanca, Morocco

*Corresponding Author: Saloui S, Department of periodontology, University Hassan II of Casablanca, Morocco.

Received: November 13, 2023; Published: December 14, 2023

Abstract

Introduction: Covering a gingival recession is one of the aims of periodontal plastic surgery. Coronally advanced flap in addition to connective tissue graft seems to be the gold standard technique for root coverage of single Miller class I/II gingival recession. The technique promotes satisfying and long term stable clinical outcomes.

Clinical case: A 25-year-old patient complained of sensitivity due to the exposure of the root of the maxillary right premolar. He had a thin periodontal biotype.

Gingival recession was about 5 mm deep, and classified as Cairo’s GRT1 / Miller’s class II. We considered a coronally advanced flap in addition to a connective tissue graft. The patient shows a complete root coverage and a perfect aesthetic integration. The biotype became thick and the functional and aesthetic appearance of the patient's smile have been restored. Until 2 years of follow-up, gingival outcomes still stable.

Conclusion: The results of the clinical case are in agreement with those reported in the literature. CAF combined with CTG seems to be the gold standard for achieving a harmonious root coverage of class II of Miller gingival recession. Patient long term results are stable and satisfying. The only limitation is related to the morbidity of the technique. Nevertheless, this disadvantage could be overcome by prescribing medication.

Keywords:Aesthetics; Gingival Recession; Coronally Advanced Flap; Connective Tissue Graft; Root Coverage

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Citation

Citation: Kissa J and Saloui S. “Connective Tissue Graft with Coronally Advanced Flap for Complete Root Coverage in the Aesthetic Area: A Case Report".Acta Scientific Dental Sciences 8.1 (2024): 29-32.

Copyright

Copyright: © 2024 Kissa J and Saloui S. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.