Abstract
Introduction The purpose of this case report was to show the clinical long-term stability of a successful two-step root coverage procedure. A combination of two single techniques was used to treat an isolated deep-wide defect. Case Presentation. A 28-year-old female patient was referred in order to treat a single recession defect at #22. Due to her fear of dental procedures and a poor economic situation, the team developed an alternative solution. They used a modified apically repositioned flap (MARF) to increase the donor area and then a laterally positioned flap (LPF) to treat the root defect. Clinical evaluation at the three-year follow-up revealed complete resolution of the defect, a gain in clinical attachment, excellent esthetic results, and minor morbidity to the patient. Conclusion The combination of the MARF and the LPF procedures was able to successfully treat a single deep recession defect with some advantages over traditional techniques such as simplicity, ideal color match of tissues, and the absence of palatal donor tissue.
Highlights
The purpose of this case report was to show the clinical long-term stability of a successful two-step root coverage procedure
If that is the case, a simpler and less invasive surgical intervention should increase patient acceptance [4]. This case report describes a simple alternative for the treatment of a deep and wide single recession [5] utilizing a two-step procedure that did not employ the palatal donor source, promoted less morbidity, and improved postoperative comfort, with excellent esthetic results
A 28-year-old nonsmoking female was referred to a private practice in Londrina, Parana, Brazil, in February 2017 for the treatment of an isolated deep-wide recession [6] on the buccal aspect of tooth #22 (Figure 1)
Summary
Periodontal plastic surgery is frequently used to maintain functional dentition and improve patient esthetics. When a treatment plan is developed, it is recommended that an assessment of the patient’s potential postsurgical pain and discomfort, the esthetic outcome, patient satisfaction, and the overall cost-effectiveness be included [3]. Another point that should be considered is that some patients experience dental fear. If that is the case, a simpler and less invasive surgical intervention should increase patient acceptance [4] This case report describes a simple alternative for the treatment of a deep and wide single recession [5] utilizing a two-step procedure that did not employ the palatal donor source, promoted less morbidity, and improved postoperative comfort, with excellent esthetic results
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