Multiple marginal tissue recession treated with a simplified lateral sliding flap technique.
Marginal tissue recession is a common esthetic problem that is usually accompanied by dentin sensitivity, and patients frequently report a fear of dental loss. Lateral sliding flaps have been used for localized recession, but they are rarely used for multiple recessions. The aim of this paper was to report a case of coverage of multiple marginal tissue recessions by means of a lateral sliding flap associated with a connective tissue graft. This was a modification of Nelson's technique, which was originally described as the combination of the double papilla technique, lateral sliding flap, and connective tissue graft. In the present case, double papilla was not performed, rendering the maneuver less complicated. After surgery on teeth #23 to #25, total root coverage, decreased dentin sensitivity, and increased keratinized tissue band and gingival thickness were achieved. In the present case, modified Nelson technique proved to be a more simple procedure for the treatment of multiple recessions in one session, resulting in adequate healing, predictable root coverage, and, more importantly, esthetic and functional success.
Masters of Science Program, Educational Foundation of Barretos, UNIFEB, 14783-226 Barretos, SP, Brazil.
Fernando Salimon
FS
Ribeiro
Private Practice, 37958-000 Monte Santo de Minas, MG, Brazil.
Juliana Aparecida Najarro Dearo
JA
de Morais-Camillo
School of Dentistry, Federal University of Goiás, 74605-220 Goiânia, GO, Brazil.
José Marcos Alves
JM
Fernandes
Masters of Science Program, Educational Foundation of Barretos, UNIFEB, 14783-226 Barretos, SP, Brazil.
Juliana Rico
JR
Pires
Masters of Science Program, Educational Foundation of Barretos, UNIFEB, 14783-226 Barretos, SP, Brazil.
Elizangela Partata
EP
Zuza
Masters of Science Program, Educational Foundation of Barretos, UNIFEB, 14783-226 Barretos, SP, Brazil.
Ana Emília Farias
AE
Pontes