title: Modified Double-Papillae Flap Technique With Subepithelial Connective Tissue Graft for Root Coverage in the Esthetic Zone: Case Report.
abstract: Gingival recession can compromise the esthetic appearance, leading to functional problems, hypersensitivity, and root caries. Several techniques have been implicated for root coverage, which includes pedicle grafts, free gingival grafts, connective tissue grafts, and guided-tissue regeneration. The double-papillae flap associated with subepithelial connective tissue is a predictable technique to cover isolated areas with insufficient attached gingiva apical to a recession. This case report demonstrates a surgical alternative to the technique using a sling periosteal suture to stabilize the connective tissue and pedicle flap during the initial phase of healing, increasing the potential of this periodontal procedure for gingival recession coverage.
authors.affiliation: Master Student, Implantology Federal University of Santa Cataria, Florianópolis, Brazil.
authors.forename: Gustavo Javier Salazar
authors.initials: GJ
authors.lastname: Littuma
authors.affiliation: Professor, Implantology and Periodontics, University Extremo Sul Catarinense Criciuma, SC, Brazil; PhD student, Implantology, Federal University of Santa Catarina, Florianópolis, Brazil.
authors.forename: Leonardo
authors.initials: L
authors.lastname: Bez
authors.affiliation: Professor, Dentistry, University of Santo Tomás, Bucaramanga, Santander, Colômbia.; PhD student, Implantology, Federal University of Santa Catarina, Florianópolis, Brazil.
authors.forename: Camilo Andres Villabona
authors.initials: CA
authors.lastname: Lopez
authors.affiliation: Professor, Titular School of Dentistry-Federal University of Santa Catarina, Florianópolis, SC, Brazil.
authors.forename: Cesar Augusto Magalhães
authors.initials: CA
authors.lastname: Benfatti
authors.affiliation: Associate Professor, School of Dentistry-Federal University of Santa Catarina, Florianópolis, SC, Brazil.
authors.forename: Ricardo de Souza
authors.initials: RS
authors.lastname: Magini
mesh_terms: D000328:Adult; D003238:Connective Tissue / Q000637:transplantation*; D004955:Esthetics, Dental; D005260:Female; D005889:Gingival Recession / Q000601:surgery*; D005893:Gingivoplasty / Q000379:methods*; D006801:Humans; D007180:Incisor; D008334:Mandible; D013524:Surgical Flaps; D013536:Suture Techniques; D014092:Tooth Root / Q000601:surgery