Two-Stage Surgical Procedure with Free Gingival Graft and Coronally Advanced Flap in Treatment of Recession Type 1: A Case Series

Abstract

Gingival recession is a multifactorial problem happened due to various reasons and could be defined as the apical shift of the gingival margin. It can be easily diagnosed when root exposure occurred as a result of previous alveolar bone loss under the gingiva. This condition may have important esthetic, functional, and periodontal health implications. Esthetic concerns and dentin hypersensitivity caused by gingival recession are the main reasons that encourage the patient to seek periodontal treatment. The primary goal of any surgical approach for treating gingival recession defects will be complete root coverage (CRC) resulting in pain relief and prevention of further progression. One of the common surgical procedures for gingival recession treatment is periodontal mucogingival plastic surgery using free gingival graft and subepithelial connective tissue graft. In this case series, three cases presenting with “Cairo recession type 1” isolated gingival recession were treated by free gingival graft and coronally advanced flap without subepithelial connective tissue graft using two-stage surgical technique. The result after follow-up of our cases showed a significant increase in attached gingiva, longterm root coverage (RC) has been obtained and the complaints of patients were resolved.