Double papilla flap and connective tissue graft in the coverage of gingival recessions using microsurgery: case series -

Abstract

The aim of the present case series is to share the clinical results of double papilla flap and connective tissue graft in the coverage of gingival recession using microsurgery which is routinely used in our clinic. A total of 8 patients, mean age 29.75 ± 7.4 (6 female, 2 male) with 8 defects were included. Connective tissue graft was harvested from palate and sutured to the recipient area and then was completely covered with a double papilla flap. Plaque index (PI), gingival index (GI), probing pocket depth and clinical attachment levels were evaluated before the treatment (baseline) and at 6th month, recession depth was measured at baseline, 1st, 3rd and 6th month, and keratinized tissue width was assessed at baseline, 3rd and 6th month. Recession depth at baseline and 6th months were 4.38 ± 0.83 mm and 0.25 ± 0.46 mm, respectively with root coverage percentage of 94.72% ± 9.79. During the evaluation period partial coverage was observed in 2 patients and full coverage was detected in 6 patients. Clinical attachment levels at baseline and 6th month were 5.56 ± 0.67 mm, and 1.56 ± 0.56 mm respectively, and keratinized tissue width was 0.25 ± 0.46 mm and 3.00 ± 0.89 mm at the same evaluation period. According to the results of the present case series, it can be concluded that double papilla flap and connective tissue graft using microsurgery is effective in the treatment of gingival recessions and the newly formed attachment level maintained stability in short term.