Journal of Indian Society of Periodontology
Journal of Indian Society of Periodontology
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Year : 2012  |  Volume : 16  |  Issue : 3  |  Page : 436-441

Two stage surgical procedure for root coverage

Department of Periodontics, Yenepoya Dental College, Mangalore, Karnataka, India

Correspondence Address:
Anjana Mary George
Department of Periodontics, Yenepoya Dental College, Deralakatte, 575018, Mangalore, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0972-124X.100926

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Gingival recession may present problems that include root sensitivity, esthetic concern, and predilection to root caries, cervical abrasion and compromising of a restorative effort. When marginal tissue health cannot be maintained and recession is deep, the need for treatment arises. This literature has documented that recession can be successfully treated by means of a two stage surgical approach, the first stage consisting of creation of attached gingiva by means of free gingival graft, and in the second stage, a lateral sliding flap of grafted tissue to cover the recession. This indirect technique ensures development of an adequate width of attached gingiva. The outcome of this technique suggests that two stage surgical procedures are highly predictable for root coverage in case of isolated deep recession and lack of attached gingiva.

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