Bidirectionally positioned flap surgery: a case report with 3-year follow-up

Quintessence Int. 2013 Jan;44(1):25-8. doi: 10.3290/j.qi.a28743.

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.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Connective Tissue / transplantation
  • Cuspid / surgery
  • Female
  • Follow-Up Studies
  • Gingiva / transplantation*
  • Gingival Recession / surgery*
  • Humans
  • Keratins
  • Maxilla / surgery
  • Surgical Flaps / transplantation*
  • Tooth Root / surgery
  • Treatment Outcome

Substances

  • Keratins