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Quintessence International



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Quintessence Int 44 (2013), No. 1     28. Nov. 2012
Quintessence Int 44 (2013), No. 1  (28.11.2012)

Page 25-28, doi:10.3290/j.qi.a28743, PubMed:23444158

Bidirectionally positioned flap surgery: A case report with 3-year follow-up
Iwano, Yoshihiro / Sato, Shuichi / Ito, Koichi
A new technique to cover recessions to take advantage of connective tissue grafts and coronally advanced flaps is proposed. A 34-year-old woman presented with a 2-mm Class I recession on the buccal aspect of her maxillary right canine. A full-thickness flap was placed coronally to cover the exposed root, and a partial thickness flap was positioned apically. Complete root coverage was obtained, and the width of keratinized tissue had increased from 2 to 4 mm at the 6-month postoperative visit. These clinical outcomes were maintained for 3 years. This single surgical approach benefits from obtaining not only complete root coverage but also increasing width of keratinized tissue, without requiring a second surgical site.

Keywords: connective tissue graft, coronally advanced flap, Miller Class I recession