Volume 26, Issue 129, November 2022

Coronally advanced flap with a button to reclaim the gingival position: A case report

Tamil Selvan Kumar^1♦, Fairlin P², Ramesh Raja S³, Maria Beulah J⁴, Gokulvathi Rajkumar⁵, Jeffy M⁶, Hari Prasat AS⁷, Ahamed Faizal M⁸

¹Assistant Professor, Department of Periodontology, Rajas Dental College and Hospital, Kavalkinaru, Tirunelveli, Tamilnadu, India
²Assistant Professor, Department of Periodontology, Rajas Dental College and Hospital, Kavalkinaru, Tirunelveli, Tamilnadu, India
³Reader, Department of Prosthodontics, Rajas Dental College and Hospital, Kavalkinaru, Tirunelveli, Tamilnadu, India
⁴Post graduate, Department of Periodontology, Rajas Dental College and Hospital, Kavalkinaru, Tirunelveli, Tamilnadu, India
⁵Post graduate, Department of Periodontology, Rajas Dental College and Hospital, Kavalkinaru, Tirunelveli, Tamilnadu, India
⁶Post graduate, Department of Prosthodontics, Rajas Dental College and Hospital, Kavalkinaru, Tirunelveli, Tamilnadu, India
⁷Post graduate, Department of Periodontology, Rajas Dental College and Hospital, Kavalkinaru, Tirunelveli, Tamilnadu, India
⁸Post graduate, Department of Periodontology, Rajas Dental College and Hospital, Kavalkinaru, Tirunelveli, Tamilnadu, India

^♦Corresponding author
Assistant Professor, Department of Periodontology, Rajas Dental College and Hospital, Kavalkinaru, Tirunelveli, Tamilnadu, India

ABSTRACT

Gingival recession pose various problems to the patients in terms of aesthetics, sensitivity and possibility of root caries in the future. Therefore, early diagnosis and management of gingival recession is considered significant. The success of the root coverage mainly depends on stability and retention of the soft tissues over the denuded root surface following treatment. Many root coverage procedures have been introduced with varying results. This case report is directed towards the management of Miller’s class I gingival recession and to discuss the advantage of positioning the flap coronal to treat those conditions. Coronally advanced flap have shown varying results and various modifications have been proposed. In this case report, the flap which was advanced coronally was maintained stable with the support of orthodontic button fixed on the tooth surface. This technique resulted in superior aesthetics and complete coverage of the exposed root.

Keywords: Periodontitis, Coronally advanced flap, Clinical Attachment Loss, Root Coverage and Auto graft

Medical Science, 2022, 26, ms462e2514

PDF

DOI: https://doi.org/10.54905/disssi/v26i129/ms462e2514

Published: 11 November 2022