Coronally advanced flap with and without connective tissue graft in root coverage procedure: A Case Series

Abstract

Objective: This paper aims to report the outcome of the coronally advanced flap with and without connective tissue graft in the root coverage procedure. We intend to explain the importance of connective tissue graft in coronally advanced flap surgery. Methods: Two patients with gingival recession required surgical intervention to get root coverage and improve aesthetics. Both patients were treated with a coronally advanced flap. We combined the coronally advanced flap with a connective tissue graft for the first patient's maxillary left second incisor and canine; meanwhile, we only did the coronally advanced flap for the second patient's maxillary right canine and first premolar. Results: Surgical intervention was done for both patients with good results. For the first patient with a connective tissue graft, we noticed increased thickness on the keratinized gingiva and gained 1 mm of root coverage. Meanwhile, we got full root coverage for the second patient. In this article, a patient with a connective tissue graft was observed for six months, and a patient without a connective tissue graft was observed for two years. In both cases, we noticed stable and good results. Conclusions: Coronally advanced flap procedure can be a reliable treatent for root coverage in the tooth with gingival recession. An additional connective tissue graft combined with a coronally advanced flap can increase keratinized tissue thickness.