Treatment of multiple adjacent gingival recessions in a single surgical approach with expanded subepithelial connective tissue graft - An innovative approach

Rameshwari Singhal; Pavitra Rastogi; Nandlal

doi:10.1016/j.jobcr.2012.05.007

Treatment of multiple adjacent gingival recessions in a single surgical approach with expanded subepithelial connective tissue graft - An innovative approach

J Oral Biol Craniofac Res. 2012 May-Aug;2(2):131-4. doi: 10.1016/j.jobcr.2012.05.007. Epub 2012 Jun 22.

Authors

Rameshwari Singhal¹, Pavitra Rastogi¹, Nandlal²

Affiliations

¹ Assistant Professor, Department of Periodontics, Faculty of Dental Sciences, C.S.M.M.U. (Erstwhile King George's Medical College), Lucknow, India.
² Associate Professor, Department of Periodontics, Faculty of Dental Sciences, King George's Medical University, Lucknow, India.

Abstract

Background: Gingival recession on anterior teeth compromises facial esthetics and is associated with dentinal hypersensitivity. Multiple teeth recession requires multiple surgeries for adequate coverage.

Methods: Six anterior mandibular teeth were treated with single Subepithelial Connective Tissue Graft (SCTG) expanded with the use of alternate vertical incisions. A brief review of SCTG is included.

Results: 90 days evaluation revealed adequate recession coverage. Patient was satisfied with the esthetic results.

Conclusion: The present technique may be an innovative approach for single surgical harvesting and placement of SCTG over long expanse multiple adjacent gingival recessions. This technique prevents multiple surgical traumas to the patient and enhances esthetics.

Keywords: Dentinal hypersenstivity; Gingival recession; Periodontal plastic surgery; Subepithelial connective tissue graft.