The connective tissue graft under coronally advanced flap for the treatment of severe multiple gingival recessions, yielded a 100% effective results in a smoker patient with severe pathology.
Treatment of gingival recessions root hypersensitivity or aesthetic reasons is a major concern of patients with high levels of oral hygiene.
There are techniques of getting periodontal plastic surgery, though not entirely predictable acceptable results.
But now there is a periodontal plastic surgery technique which allows treatment in a single appointment, multiple advanced gum recession, present in all the upper front teeth. It is based on combining a coronally advanced flap with subepithelial connective tissue graft.
Periodontal surgery on a real case
The picture illustrates the patient treated with this new type of periodontal surgery, a 32-year-old smoker five cigarettes a day and no relevant medical history.
Presents advanced gingival recession with poor prognosis due to abrasion by harmful brushed that part of the enamel had worn with the consequent exposure of the coronal dentin. Also, there was bone loss, especially in the area of the upper incisors.
Periodontal surgery, results
A year later, the results were quite stable, without presence of periodontal pockets. So, we have a 100% success, with complete coverage of gingival recession and a fully blended into the original in the foregoing areas color.
Periodontal surgery, benefits
There are many techniques of periodontal plastic surgery to cover multiple gingival recessions. The biggest advantage we see in the technique described is that it could cover 100% of the coronal dentin exposed, something extremely difficult; thus be avoided composite restorations use to try to make up said dentin.
Another advantage is the absence of scars produced by the vertical incisions discharge. By extending the distal flap a tooth, liberating use it was avoided.
Therefore, the combined use of a coronally advanced flap yu connective tissue graft allows a complete coverage of cases of advanced multiple gingival recession with poor prognosis.