Root coverage of a molar recession defect : A case report.

Abstract

Background : Gingival recession is characterized by the displacement of the gingival margin apically from the cementoenamel junction, or CEJ. The resulting root exposure is not esthetically pleasing and may lead to sensitivity and root caries. This is a case report which demonstrates a technique to obtain root coverage of a molar recession defect.

Methods : The technique involve elevating a partial-thickness flap and placing a connective tissue graft beneath the flap and over the recession defect (subepithelial connective tissue graft). The portion of the connective tissue graft placed over the recession defect was covered by the flap.

Results : There was 1-1.5 mm. of exposed root present at 1 month of reevaluation,representing a 7.5 - 8 mm. gain in root coverage (83.33-88.89 percent root coverage)

Conclusions : Root coverage of a molar recession defect can be obtained with subepithelial connective tissue graft

Key Words : Gingival recession; root coverage; subepithelial connective tissue graft; partialthickness flap.