(41) Coronally Advanced Flap Alone to Manage Multiple Adjacent Combination Recession RT1 & RT2 in the Esthetic Zone, 1-year Clinical Follow-up: A Case Study

Introduction: There are different techniques to treat gingival recession and gain root coverage. Coronally advanced flap alone is a well-established approach to treat gingival recession. Maintaining the integrity of the blood supply to great extent and lack of scaring, has made the tunnel technique a favorable approach amongst the periodontal plastic surgery armaterium. With an adequate band of keratinized gingiva and tissue thickness, the coronally advanced flap alone can yield predictable results if the treatment guidelines are applied. The aim of this case report is to share a step-by-step treatment of multiple adjacent RT1 & RT2 recession in the esthetic zone.

Methods: Middle age healthy male presented with multiple gingival recession on teeth # 7,8,9. Root coverage was needed prior to restorative treatment. Coronally advance flap alone using tunnel was used to correct the gingival recession on labial surfaces of the affected teeth. In this study, root coverage was achieved with a CAF alone using tunnel technique. Clinical analysis was performed at 1- year follow-up.

Results: Complete root coverage was achieved and remained clinically stable up to one year post coronally advanced flap alone using tunnel approach.

Conclusions: In this case report a favorable clinical and patient-centered outcome was achieved and maintained utilizing CAF alone with tunnel technique.

Lead Author's Contributions to the Research Project. : Lead author was responsible for all clinical care provided at each surgical and post-operative appointment.