title: Bidirectionally positioned flap surgery: a case report with 3-year follow-up.
abstract: A new technique to cover recessions to take advantage of connective tissue grafts and coronally advanced flaps is proposed. A 34-year-old woman presented with a 2-mm Class I recession on the buccal aspect of her maxillary right canine. A full-thickness flap was placed coronally to cover the exposed root, and a partial thickness flap was positioned apically. Complete root coverage was obtained, and the width of keratinized tissue had increased from 2 to 4 mm at the 6-month postoperative visit. These clinical outcomes were maintained for 3 years. This single surgical approach benefits from obtaining not only complete root coverage but also increasing width of keratinized tissue, without requiring a second surgical site.
authors: Iwano Dental Clinic, Tokyo, Japan.
authors: Yoshihiro
authors: Y
authors: Iwano
authors: Shuichi
authors: S
authors: Sato
authors: Koichi
authors: K
authors: Ito
mesh_terms: D000328:Adult; D003238:Connective Tissue / Q000637:transplantation; D003481:Cuspid / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D005881:Gingiva / Q000637:transplantation*; D005889:Gingival Recession / Q000601:surgery*; D006801:Humans; D007633:Keratins; D008437:Maxilla / Q000601:surgery; D013524:Surgical Flaps / Q000637:transplantation*; D014092:Tooth Root / Q000601:surgery; D016896:Treatment Outcome
chemical_list: D007633:Keratins