Abstract
Gingival recession, whenever presents with sensitivity, aesthetic problem, root caries or difficulty in plaque control may pose a challenge for clinicians. Among the various treatment modalities for root coverage, laterally displaced flap has been a promising treatment for isolated gingival recession with an adequate amount of donor tissue adjacent to the recipient site. This case report presents a case of successful root coverage where laterally displaced flap was employed for the management of gingival recession in mandibular central incisor with two and a half years follow up.
Highlights
Gingival recession is defined as “The migration of the gingiva to a point apical to the cemento-enamel junction.”[1]
A 35-year-old male patient reported to the Department of Periodontology and Oral Implantology with a chief complaint of receding gum in lower front teeth region, for which he noticed sensitivity and expressed the fear of losing a tooth
Medical history was not significant. He reported the habit of Correspondence: Dr Kripa Shahi Department of Periodontology and Oral Implantology, Peoples Dental College and Hospital, Shorakhutte, Kathmandu, Nepal email: me.kripashahi@gmail.com
Summary
Gingival recession is defined as “The migration of the gingiva to a point apical to the cemento-enamel junction.”[1]. It may lead to aesthetic disharmony, defect progression, hypersensitivity, root caries, and unfavourable contour of gingival margin that limits plaque control, requiring root coverage.[2] Grupe and Warren, in 1956, introduced laterally displaced pedicle flap (LDF) as “lateral sliding flap”.3 This procedure is indicated in gingival recession limited to one or two teeth, narrow mesiodistal dimension, and with sufficient width, length and thickness of keratinised tissue adjacent to the area of recession.[4]. Vertical releasing incision was given at least 11⁄2 teeth away from the recipient site at mesial line angle in relation to 43 in order to have width of pedicle flap 11⁄2 times greater than the area of gingival recession. After 10 days of surgery, periodontal dressing and sutures were removed followed by irrigation with normal saline Healing on both recipient and donor sites were satisfactory (Figure 3a).
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