Management of Multiple Gingival Recessions Using Zucchelli’s Modified Coronally Advanced Flap Technique with or withoutPlatelet Rich Fibrin Membrane – A Case Report

Abstract

Gingival recession is the apical migration of the gingival margin with exposure of root surfaces. Fulfilling functional and esthetic demands of patients with multiple gingival recessions remains a major therapeutic challenge. While treating adjacent multiple recession defects in esthetic areas, selection of appropriate surgical procedure that restores optimal esthetic and functional stability is of paramount importance, which allows the clinician to gain optimal structural correction of the soft tissue deficiency yet does not compromise the soft tissue architecture and esthetics. Zucchelli and De Sanctis have described a modified coronally advanced flap design for the treatment of multiple gingival recessions, which allows for optimal flap adaptation and satisfactory root coverage. Platelet Rich Fibrin demonstrates the additional biologic effects, where its growth factors enhance the wound healing mechanism and are postulated as promoters of tissue regeneration. This case report presents bilateral multiple gingival recessions treated with Zucchelli’s modified coronally advanced flap with or without the use of Platelet Rich Fibrin.