Management of Class-I and -II Miller Recession Using Modified Technique: A Case Report

Abstract

Background: Gingival recession is characterized by the gingival margin move apically to the mucogingival junction and cause root surface exposure. It causes a high incidence of caries, hypersensitivity and interferes with the appearance of the patient. A variety of materials and periodontal plastic surgery procedures are available to correct mucogingival problems and cover the root surface. Some treatment modifications have been developed to obtain optimal root coverage and better esthetics so that the selection of suitable treatments can affect the treatment results.
 Objective: To describe the treatment result of gingival recession using several modifications of gingival recession treatment.
 Case Report: A 42-year-old woman presented to the Dental and Oral Hospital of Hasanuddin University with a chief complaint of sensitive teeth when eating sweets or rinsing. Intraoral examination revealed the malposition of teeth 43 and 33, causing traumatic occlusion. Moreover, there were gingival recessions in the maxilla and mandibular regions. Recession in the maxillary right (12, 13, 14, 15, 16) was treated with tunneling technique combined with platelet-rich fibrin (PRF); recession in the maxillary left (22, 24, 26) was treated with coronally advanced flap (CAF) technique combined with PRF; and recession on mandibular (33, 43) was treated with CAF technique combined with subepithelial connective tissue graft (SCTG).
 Conclusion: All combination treatments gave satisfactory results for patients but different times of healing.
 Keywords: coronally advanced flap, gingival recession, platelet-rich fibrin, subepithelial connective tissue graft, tunnel technique