Root coverage of adjacent gingival recessions with a combination of two surgical techniques

Resumo

The dentin hypersensitivity associated with gingival
recession is an occurrence of high prevalence in the clinical routine of
dentists. Coverage of exposed root surfaces represents a challenge for
periodontal treatment. Objective: The purpose of the present study
is to describe an approach for adjacent gingival recession treatment
using a combination of two surgical techniques: the subepithelial
connective tissue graft (SCTG) with a laterally positioned double flap.
Case report: This surgical treatment was conducted in a 45-yearold female patient who complained of sensitivity when brushing the
lower right teeth. Clinical and radiographic examinations showed
gingival recessions (Miller Class III) with traumatic origin promoted
for tooth brushing and the presence of thin periodontium in the
region. In addition, interproximal bone loss was noted on vestibular
face of the right mandibular second premolar and mesial root of
the right mandibular first molar. At 12 postoperative months, it
was observed that the association of the two surgical techniques
promoted an almost complete coverage of the gingival recessions,
an increased keratinized gingival band and the elimination of
initial dentin hypersensitivity. Conclusion: The appropriate choice
of techniques and patient compliance to the periodontal support
therapy led to treatment success and periodontal health maintenance
in the region during the whole follow-up period.