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Case Reports
. 2019 Apr-Jun;9(2):111-114.
doi: 10.4103/ijabmr.IJABMR_290_18.

Coronally Advanced Flap with Amniotic Membrane in the Treatment of Gingival Recession: Three Case Reports

Vijayalakshmi Bolla  1 , Pathakota Krishnajaneya Reddy  2 , Butchibabu Kalakonda  3 , Pradeep Koppolu  4 , E Manaswini  5
Affiliations
Case Reports

Coronally Advanced Flap with Amniotic Membrane in the Treatment of Gingival Recession: Three Case Reports

Vijayalakshmi Bolla et al. Int J Appl Basic Med Res. 2019 Apr-Jun.

Abstract

Gingival recession is defined as an apical displacement of soft tissues to the cementoenamel junction. Various treatment options for the management of gingival recessions include laterally positioned flap, double papillae flap, coronally advanced flap (CAF) with or without guided tissue regeneration, free gingival autografts, and autogenous subepithelial connective tissue grafts. Three patients with multiple adjacent gingival recessions in the upper jaw were treated utilizing amniotic membrane (Tata memorial) with CAF. The results of this procedure show that amniotic membrane can be used in the treatment of gingival recession defects with significant root coverage and to increase the thickness of keratinized gingiva. There was an increase in height and thickness of keratinized gingiva from 3 to 3.5 mm and 1.5 to 2 mm, respectively. The present results suggest that the combined approach of CAF and amniotic membrane can be considered as a treatment option for multiple adjacent gingival recessions.

Keywords: Coronally advanced flap; gingival recession; guided tissue regeneration.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
(a) Miller's Class I gingival recession in 11, 21 and Class III in 22, 23. (b and c) Operative view showing two beveled oblique vertical releasing incisions online angle of distal teeth without involving the adjacent papilla extending into the alveolar mucosa. (d and e) Amnion Membrane and Placement. (f) Placement of interrupted sutures to close the vertical incisions and sling sutures at the interdental papillae with 5-0 mersilk. (g) Superficial releasing incision to release the lip pull. (h) One-year postoperative view showing near complete root coverage in relation to 11, 21 and partial root coverage in relation to 22 and 23 in case 1
Figure 2
Figure 2
(a) Photograph showing Miller's Class I gingival recession in 23. (b-d) Operative view showing two beveled vertical releasing incisions on line angle of distal teeth without involving the adjacent papilla extending into the alveolar mucosa. (e) Placement of amnion membrane the root surface. (f) Placement of interrupted sutures to close the vertical incisions. (g) One-year postoperative view showing near complete root coverage in relation to 23 in case 2
Figure 3
Figure 3
(a) Photograph showing Miller's Class I gingival recession in 21, Class II in 22 and 23. (b and c) Operative view showing two beveled oblique vertical releasing incisions on line angle of distal teeth without involving the adjacent papilla extending into the alveolar mucosa. (d) Placement of amnion membrane the root surface. (e) Placement of interrupted sutures to close the vertical incisions on line angle of distal teeth without involving the adjacent papilla extending into the alveolar mucosa. (f) One-year postoperative view showing near complete root coverage in relation to 21, 22, 23 in case 3
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