A combined flap for root coverage.
A new mucogingival surgical technique for root coverage is proposed. Two kinds of flaps were obtained from the tissue surrounding the recession: the first, a partial thickness-epithelial connective flap, was designed to cover the second flap, which was a connective double-papilla flap positioned directly on the root surface. This technique was used to treat 11 cases of gingival recession ranging from 3 to 5 mm. After a period of 12 months, the mean root coverage was 84% with an average recession reduction of 2.7 mm, and the keratinized gingiva obtained was adequate in width and in thickness. The advantages of the suggested surgical technique are: (1) a single-step procedure is used, (2) there is no need for a second donor site, and (3) the achievement of a good final esthetic result with uniformity in the color and morphology of the flap relative to the surrounding tissues.
D000328:Adult; D003238:Connective Tissue / Q000637:transplantation; D005069:Evaluation Studies as Topic; D005260:Female; D005881:Gingiva / Q000637:transplantation; D005889:Gingival Recession / Q000601:surgery*; D005893:Gingivoplasty / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013524:Surgical Flaps