Predictability of Maximum Root Coverage in Muco-Plastic Surgery of Localized Gingival Recession. (Case report) | ||
| Sue Oral and Dental Medicine Journal | ||
| Volume 1, Issue 2, June 2025, Pages 79-89 PDF (1.61 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/suodmj.2025.397307.1014 | ||
| Authors | ||
| Shimaa HR Kotb* ; martina maged; mohamed fouad | ||
| Egypt, Assuit City, sphinx university ,faculty of oral and dental medicine | ||
| Abstract | ||
| Aim of study: to underscore the efficacy of predicting maximum root coverage in treating gingival recession with coronal advancement flap (CAF) and autogenous subepithelial connective tissue grafts (CTG). Methods: Patients with Gingival Recessions Type (RT)1 and RT2 were treated with Coronal advancement flap with a connective tissue graft (CTG). The treatment protocol comprised scaling and root planing, along with root surface conditioning. Subsequently, a surgical phase was conducted, involving a sub-epithelium connective tissue graft placed . This included the harvest of the graft from the palatal mucosa and its placement at the recipient site. Post-operative care instructions were provided, accompanied by a comprehensive follow-up schedule for one month. Results: there is no significant difference between the predetermine level of root coverage and the actual outcome postoperatively. In the case 1, full root coverage was attained, demonstrating both long-term stability and aesthetic achievement. Conversely, in the second case, root coverage reached 80% with attachment level gain and a gingival margin that was harmonious with adjacent teeth. It is deemed a successful clinical result. Conclusion: The successful outcomes of combining Coronally Advanced Flap (CAF) with Connective Tissue Graft (CTG) in treating gingival recession of Miller class II and III cases have underscored the efficacy of predetermined assessments. These assessments enhance the clinician's ability to accurately predict the maximum root coverage achievable before surgery, which is vital for the success of regenerative treatments. Further randomized clinical trials with extended follow-ups are required. | ||
| Keywords | ||
| Gingival recession; Mucogingival surgeries; free gingival graft; root coverage; Regenerative Technique | ||
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