The effect of laterally positioned flap-revised technique and 24% ethylenediaminetetraacetic acid root conditioning on root coverage: A case report

Complete root coverage is considered the true goal of treatment of gingival recession defects because only complete coverage assures recovery from the hypersensitivity and esthetic defects associated with recession areas. Previous studies have shown that the laterally positioned flap (LPF) technique...

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Main Authors: Jagmohan Singh, Vipin Bharti
Format: Article
Language:English
Published: Elsevier 2014-07-01
Series:Saudi Dental Journal
Online Access:http://www.sciencedirect.com/science/article/pii/S1013905214000418
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author Jagmohan Singh
Vipin Bharti
author_facet Jagmohan Singh
Vipin Bharti
author_sort Jagmohan Singh
collection DOAJ
description Complete root coverage is considered the true goal of treatment of gingival recession defects because only complete coverage assures recovery from the hypersensitivity and esthetic defects associated with recession areas. Previous studies have shown that the laterally positioned flap (LPF) technique or root surface biomodification yields a higher percentage of complete root coverage upon gingival recession treatment. This article highlights the use of the laterally positioned pedicle flap-revised technique (LPFRT) as a modification of the LPF technique, along with 24% EDTA gel as a root surface biomodification agent, in the management of localized gingival recession defects. Clinical examination revealed a Miller class II recession defect on the buccal aspect of the lower right central incisor, as well as the presence of aberrant frenum pull adjacent to the recession defect. The LPFRT, together with 24% EDTA gel, was speculated to cover the gingival recession defect. The frenectomy, along with periosteal fenestration, was planned simultaneously with LPFRT. After 6 months of therapy, the clinical condition was stable with complete root coverage and satisfactory healing of the gingival tissues at both the donor and recipient sites with no signs of inflammation. Keywords: Ethylenediaminetetraacetic acid, Esthetics, Gingival recession, Pedicled flap, Root coverage
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spelling doaj.art-6408478b4a2f4b9ea6ca07ecdc5cb8442022-12-21T19:18:25ZengElsevierSaudi Dental Journal1013-90522014-07-01263132138The effect of laterally positioned flap-revised technique and 24% ethylenediaminetetraacetic acid root conditioning on root coverage: A case reportJagmohan Singh0Vipin Bharti1Employees’ State Insurance Model Hospital, Ministry of Labour & Employment, Govt. of India, Bari Brahmana, Jammu & Kashmir, India; Corresponding author. Address: H. No. 68, Master Colony, Magrala Road, Dinanagar Distt., Gurdaspur 143531, Punjab, India. Tel.: +91 8198804446.Dept. of Periodontology, Govt. Dental College and Hospital, Patiala, Punjab, IndiaComplete root coverage is considered the true goal of treatment of gingival recession defects because only complete coverage assures recovery from the hypersensitivity and esthetic defects associated with recession areas. Previous studies have shown that the laterally positioned flap (LPF) technique or root surface biomodification yields a higher percentage of complete root coverage upon gingival recession treatment. This article highlights the use of the laterally positioned pedicle flap-revised technique (LPFRT) as a modification of the LPF technique, along with 24% EDTA gel as a root surface biomodification agent, in the management of localized gingival recession defects. Clinical examination revealed a Miller class II recession defect on the buccal aspect of the lower right central incisor, as well as the presence of aberrant frenum pull adjacent to the recession defect. The LPFRT, together with 24% EDTA gel, was speculated to cover the gingival recession defect. The frenectomy, along with periosteal fenestration, was planned simultaneously with LPFRT. After 6 months of therapy, the clinical condition was stable with complete root coverage and satisfactory healing of the gingival tissues at both the donor and recipient sites with no signs of inflammation. Keywords: Ethylenediaminetetraacetic acid, Esthetics, Gingival recession, Pedicled flap, Root coveragehttp://www.sciencedirect.com/science/article/pii/S1013905214000418
spellingShingle Jagmohan Singh
Vipin Bharti
The effect of laterally positioned flap-revised technique and 24% ethylenediaminetetraacetic acid root conditioning on root coverage: A case report
Saudi Dental Journal
title The effect of laterally positioned flap-revised technique and 24% ethylenediaminetetraacetic acid root conditioning on root coverage: A case report
title_full The effect of laterally positioned flap-revised technique and 24% ethylenediaminetetraacetic acid root conditioning on root coverage: A case report
title_fullStr The effect of laterally positioned flap-revised technique and 24% ethylenediaminetetraacetic acid root conditioning on root coverage: A case report
title_full_unstemmed The effect of laterally positioned flap-revised technique and 24% ethylenediaminetetraacetic acid root conditioning on root coverage: A case report
title_short The effect of laterally positioned flap-revised technique and 24% ethylenediaminetetraacetic acid root conditioning on root coverage: A case report
title_sort effect of laterally positioned flap revised technique and 24 ethylenediaminetetraacetic acid root conditioning on root coverage a case report
url http://www.sciencedirect.com/science/article/pii/S1013905214000418
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