Pedicle Flap Combined With Soft Tissue Graft for the Management of an Isolated Deep Buccal Recession in Auto-Transplanted Maxillary Molar: A Case Report.

Abstract

This case report introduced a new technique to manage buccal deep isolated recession with loss of keratinized tissue. This technique is indicated where there is a good amount of keratinized tissue lateral to the defect and deep vestibule. In this case report, a 27-year-old male patient was referred to a periodontal surgery clinic for the management of an 8 mm buccal recession with loss of keratinized tissue related to auto-transplanted maxillary molar that caused discomfort to the patient. The denuded root is covered by a laterally and coronally advanced flap combined with a soft tissue graft using only one vertical incision. This technique showed good results in gaining keratinized tissue with partial coverage of the root for the auto-transplanted maxillary molar. Further studies are recommended for the management of periodontally involved auto-transplanted teeth.