Laterally positioned flap associated with subepithelial connective tissue graft for coverage of isolated gingival recession

Resumo

Introduction: The coverage of denuded roots represents one of the
challenges of periodontal treatment. Among the several techniques
for this purpose is the laterally positioned flap, which has undergone
some modifications since its first reports and is currently combined
with other techniques such as subepithelial connective tissue graft.
Objective: To report a case of a 41-year-old female patient who
presented Miller class I gingival recession at labial surface of tooth
#43. Case report: The main symptom of the patient was dentin
hypersensitivity. Clinical and radiographic exams were performed
and gingival inflammation due to the presence of bacterial plaque
was diagnosed as the main cause of root recession. After basic
periodontal treatment, surgery for root coverage was performed.
Since the area adjacent to the recession showed a good amount
of attached gingiva and no interproximal bone loss, the surgical
technique of choice was a laterally positioned flap associated with
a subepithelial connective tissue graft. Conclusion: Postoperative
assessment showed complete root coverage, an increased keratinized
gingival band, absence of dentin hypersensitivity, and an excellent
esthetic outcome.