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Case Reports
. 2017 Mar 9:9:7-11.
doi: 10.2147/CCIDE.S119040. eCollection 2017.

Comparison of conventional and semilunar coronally positioned flap techniques for root coverage in teeth with cervical abrasion restored with pink resin

Felipe Rychuv Santos  1 , Carmen Lucia Mueller Storrer  1 , Emanuelle Juliana Cunha  1 , Lucienne M Ulbrich  1 , Camilo Andress Villabona Lopez  2 , Tatiana Miranda Deliberador  1
Affiliations
Case Reports

Comparison of conventional and semilunar coronally positioned flap techniques for root coverage in teeth with cervical abrasion restored with pink resin

Felipe Rychuv Santos et al. Clin Cosmet Investig Dent. .

Abstract

Gingival recession is the most common mucogingival defect, characterized by apical migration of the gingival margin from the cementoenamel junction and root exposure. Several surgical techniques are reported for the treatment of gingival recession. Here we present a comparison of the conventional (coronally advanced flap) and semilunar coronally positioned flap techniques for root coverage in teeth with cervical abrasion restored with pink resin that mimics the color of the gingiva. Although the conventional technique is more predictable, we found that both techniques were effective in achieving satisfactory and esthetic root coverage.

Keywords: gingival recession; root coverage; surgical flaps.

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Conflict of interest statement

Disclosure The authors report no conflicts of interest in this work.

Figures

Figure 1
Figure 1
(A) Initial clinical examination of the maxillary right canine with gingival recession and cervical abrasion. (B) Initial clinical examination of the maxillary left canine with gingival recession and cervical abrasion.
Figure 2
Figure 2
(A) Shade selection. (B) Background white resin application on the maxillary left canine.
Figure 3
Figure 3
The completed and polished restoration on the maxillary left canine.
Figure 4
Figure 4
Intrasulcular incision with two vertical relaxing incisions in the maxillary vestibule.
Figure 5
Figure 5
(A) Total displacement of the flap in the apical direction and coronal traction of the flap. (B) Stabilization of the coronally positioned flap using one suspension suture each in the mesial and distal papillae and simple sutures to close the relaxing incisions.
Figure 6
Figure 6
(A) Internal bevel incision with a half-moon shape above the mucogingival line and coronal traction of the flap. (B) Stabilization of the coronally positioned tissue using suspension sutures, with the most apical portion of the connective tissue exposed for healing by secondary intention.
Figure 7
Figure 7
Clinical appearance of the right canine at 21 days after surgery.
Figure 8
Figure 8
Clinical appearance of the left canine at 21 days after surgery.
Figure 9
Figure 9
Clinical appearance of the right canine at 12 months after surgery.
Figure 10
Figure 10
Clinical appearance of the left canine at 12 months after surgery.
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