One-stage treatment of multiple recessions in the esthetic area with the bilaminar technique: clinical procedures and 24-month follow-up

Int J Esthet Dent. 2016;11(4):494-504.

Abstract

The aim of this case report was to treat eight simultaneous recessions that caused an unesthetic smile in a 27-year-old orthodontically treated female patient and to restore the anterior maxillary teeth in the esthetic area. The treatment consisted of bilaminar mucogingival surgery with a palatine graft and a collagen matrix graft (Mucograft, Geistlich). At 24 months, complete root coverage was achieved in all treated sites, with an increase of keratinized tissue (KT), complete resolution of hypersensitivity, and a high level of esthetic satisfaction. This case report shows that it is possible to correct multiple unesthetic recessions in one stage thanks to the combination of a connective tissue graft (CTG), a collagen matrix graft, and a coronally advanced flap (CAF).

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Esthetics, Dental*
  • Female
  • Gingival Recession / surgery*
  • Humans