Therapy of gingival recessions using laterally positioned flap plus connective tissue graft: Case reports

ABSTRACT

ABSTRACT Background: Gingival recession is an usual clinical condition with a multifactorial etiology, and its surgical treatment aims to improve aesthetics through root coverage, reducing dentin hypersensitivity, minimizing the risk of cervical caries, and increasing keratinized tissue. Objective: The aim of this study was to report the therapy used for two clinical cases of gingival recession in lower incisors. Methods: Miller class III and II gingival recessions were treated using the lateral flap associated with the connective tissue graft, with the maintenance of a keratinized tissue band in the tooth adjacent to the recession. Results: After 6 months a partial root coverage was obtained in the first case, above 70%, and complete root coverage at second case, with increase of keratinized tissue in both. Conclusion: The lateral flap associated with a connective tissue graft showed an effective technique, with good results in root coverage, gain of keratinized tissue, reduction of hypersensitivity and satisfactory esthetics in the treatment of Miller's class II and III gingival recession.