Journal of Indian Society of Periodontology
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CASE SERIES
Year : 2020  |  Volume : 24  |  Issue : 5  |  Page : 486-490

Modified coronally advanced flap design in management of isolated gingival recession: Saddle flap technique


1 Department of Periodontics, SRM Kattankulathur Dental College, Chennai, Tamil Nadu, India
2 Department of Periodontics, Bapuji Dental College and Hospital, Davanagere, Karnataka, India

Correspondence Address:
Dr. Selvaraj Raja Rajeswari
Department of Periodontics, SRM Kattankulathur Dental College, Chennai, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jisp.jisp_625_19

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Saddle flap technique, a modified coronally advanced flap approach for isolated gingival recession management was introduced and assessed in terms of clinical efficacy and patient satisfaction. A total of 10 systemically healthy subjects with isolated gingival recession defect (Miller Class I and II) were enrolled in the study. The primary endpoint measure was patient satisfaction in terms of esthetics and percentage root coverage. The secondary outcome measures comprised clinical attachment level change, gingival thickness variation, width of keratinized tissue alteration, and postoperative healing. At 1 year postoperative, 80% of the treated sites achieved 100% root coverage. Based on clinical results, saddle flap technique could be considered as one of the possible treatment options for isolated gingival recession with good esthetic and patient satisfaction.


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