Bone-enhanced periodontal plastic surgery: A case series

Abstract

In recent years, esthetics has become apparently a crucial attribute in the periodontal treatment and is paving the way for newer modalities in the management of gingival recession. Gingival recession is one of the pivotal soft tissue problems that often constitute a challenge to a periodontist. The prognostic predictability in the management of gingival recession has been questionable when adequate bone support is not available. This case series propounds a technique that combines periodontal plastic surgery along with bone grafts, to give space for soft tissue coverage and adequate support. Case series brings a novel technique to the limelight, wherein bone substitutes are added to the conventional periodontal plastic surgical procedures, to enhance support for the soft tissue. Case series includes three patients with Millers Class II and Class III recession, involves a technique, which combines xenograft along with any one of the conventional plastic surgical procedures such as coronally advanced flap or pedicle flap. Pre- and post-operatively, clinical and radiographical parameters were evaluated. Satisfactory Clinical outcome was obtained when bone substitute were added to conventional periodontal plastic surgeries for root coverage and hence it prerequisites the need for long term evaluation.