Single step root coverage with modified bridge flap technique: A pilot study

Jaspreet Kaur,Sandeep J N,Sushama R Galgali

doi:10.5348/ijcri-201606-cs-10067

Abstract

Introduction: Marginal tissue recession is a condition commonly encountered in clinical practice and is characterized by displacement of gingival margin. to overcome the limitations of original bridge flap technique which demands adequate attached gingiva apical to recession, a modification of this technique is imposed to cover the denuded root with insufficient attached gingiva. case series: three patients with either Millers class I or class II recession were treated with this technique and followed six months postoperatively. An average of 76% of root coverage was obtained with this modified technique. conclusion: the present technique reported an excellent postoperative outcome showing great coverage of exposed root surface with vestibular deepening in single step and can be performed in areas with inadequate attached gingiva apical to recession defect.

Highlights

Marginal tissue recession is a condition commonly encountered in clinical practice and is characterized by displacement of gingival margin
Mucogingival problems form a definitive diagnosis that includes an array of clinical findings, namely gingival recession (GR), shallow vestibule, inadequate width of attached gingiva (AG) and aberrant frenum [1]
Surgical endeavor by Goldman [2] for the correction of three specific problems, namely periodontal pockets that extend beyond mucogingival junction reaching the alveolar mucosa, an abnormal traction of the frenum that can transmit tension for the gingival margins causing recession, and the functional condition of a shallow vestibule that promotes a decrease of the attached gingiva levels, initiated the era of mucogingival surgery that has motivated other clinicians to develop numerous refinements

Summary

Introduction

Marginal tissue recession is a condition commonly encountered in clinical practice and is characterized by displacement of gingival margin. International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties. To overcome the limitations of original bridge flap technique which demands adequate attached gingiva apical to recession, a modification of this technique is imposed to cover the denuded root with insufficient attached gingiva.

Results

Conclusion