Management of miller class II gingival recession by laterally positioned pedicle flap revised technique
Keywords:Gingival recession, Revised flap technique, Esthetic, Functional properties
Background and objective: Gingival recession is the apical migration of the gingival margin from its normal position on the crown of the tooth to the root apically beyond the cemento-enamel junction which can cause major functional and esthetical problems. It has been clinically related to higher incidence of root caries, attachment loss, hypersensitivity and esthetic related problems. The goal of this study was to evaluate the effective of a modification of surgical procedure to laterally repositioned flap for coverage of isolated recession.
Methods: A total of 25 patients with miller class II gingival recession attended the Department of Periodontology in the College of Dentistry, Hawler Medical University for treatment of their problem. Their gingival recession about 2 to 5mm in the lower anterior teeth with shallow vestibule. After full preparation of patient which include scaling and polishing and root planning the laterally displaced revised flap technique were done. Patients were followed up in 2 week and 3 month interval to see the changes after treatment during this period. These parameter were taken pocket depth, clinical attachment loss and gingival recession which can be measured by the distance from CEJ to the base of pocket.
Result: In the recipient side, the mean gingival recession was about 3.2 mm at base line, after 2 weeks the mean gingival recession became 0.6mm and after 3 months it became 0.38mm. In the donor side, the mean gingival recession was 0 mm at base line. After 2 weeks the mean gingival recession became 1.05mm and after 3 months it became 0.5mm.
Conclusion: It can be concluded that laterally displaced revised flap technique in localized recession defects can be used to restore the esthetic and functional properties of labial gingiva of teeth by repairing gingival defect.
Bjorn UZ. Orthodontics and periodontics. In Jan Lindhe, ThorkildKarring, Niklaus P. Lang Editors. Clinical periodontology and implant dentistry. 4thed.UK. Blackwell Munksgaard.2003.765-6.
Loe H, Anerud A, Boysen H. The natural history of periodontal disease in man: Prevalence, severity, and extent of gingival recession. J Periodontol 1992; 63:489-95.
Prichard JF. Glossary of terms. J Periodontol 1987; 15(2):51-4.
Carranza S. Clinical Periodontology. In: Newman MG, Takei HH, Klokkevold PR, Carranza FA, editors. 10thed. ST. Louis, Missouri: Saunders Publication; 2006. P. 1016.
Vijayaraghavan A, Rajaram V, Bhavna J, Thyagarajan R, Vikram B. Double laterally rotated bilayer flap operation for treatment of gingival recession: A report of two cases. J Indian Soc Periodontol 2008; 12(2):51-4.
Bouchard P, Etienne D, Ouhayoun J, Nilveus R.Subepithelial connective tissue grafts in the treatment ofgingival recessions: A comparative study of 2 procedures. JPeriodontol 1994; 65:929-36.
Grupe HE, Warren RF. Repair of gingival defects by sliding flap operation. J Periodontol 1956; 27:92-5.
Jagmohan S, Vipin B. Laterally positioned flap- revised technique along with platelet rich fibrin in the management of miller class II gingival recession. Dent Res J 2013; 10(2):268-73.
Guinard EA, Caffese RG. Traeatment of localized gingival recession part-I Lateral sliding flap. J Periodontol1978; 49:351-6.
Naoshi S. Increasing attached gingiva. In periodontal surgery (a clinical atlas).quintessence publishing co. Chicago. 2000.342-6
Grupe HE. Modified technique for lateral sliding flap operation. J Periodontol. 1966; 37:491-5
Harvey PM. Surgical reconstruction of the gingiva. Part II. Procedures. N Z Dent J. 1970; 66:42-52.
De waal H, Kon S, Ruben MP. The laterally positioned flap. Dent Clin North Am 1988; 32:267-85.
Ramjford S. The lateral sliding flap with free gingival grafts. The University of Michigan, School Of Dentistry; 1971.
Smukler H. A laterally positioned mucoperiosteal pedicle graft in the treatment of denuded roots. J Periodontol 1976; 47:590-5.
Johnson RH. Guided tissue regeneration. Atlas of cosmotic and reconstructive periodontal surgery. Edward. S. Editors. Third ed. People's medical publishing house Shelton, Connecticut. 2009. 159-3.
How to Cite
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The copyright on any article published in Zanco J Med Sci is retained by the author(s) in agreement with the Creative Commons Attribution Non-Commercial ShareAlike License (CC BY-NC-SA 4.0).