Zucchelli and Sanctisov Technique with GTR Membrane for Covering Multiple Gingival Recessions – Case Report

Abstract

Introduction: Gingival recession is always associated with hypersensitivity of the exposed tooth root, and it is one of the most common problems faced by periodontists. Coronally advanced flap (CAF) for root coverage is the most commonly used technique for multiple recessions in combination with GTR membranes. Aim: The purpose of this case is to demonstrate how the Mukoderm membrane can be used in multiple recessions. Material and methods: This case report describes multiple Miller Class I recessions that occurred due to poor tooth brushing technique, combined with tooth crowding in the maxilla (large teeth, small jaw), all of which are associated with hypersensitivity of the patient’s teeth. The case was treated with a modified Zucchi and Sanctis technique for CAF with GTR membrane. Results: This new approach to CAF is very effective for the treatment of multiple recessions. Good stable results were observed in terms of root coverage, and thus the problems of dentin hypersensitivity and increased thickness of the attached gingiva were resolved. This success was short-lived, this case was followed by failure for several reasons: untreated reocclusion of premature contacts on the operated side, as well as mechanical coating of the patient with Solcoseryl, which was not recommended in this case. Conclusion: A multidisciplinary approach to the treatment of recessions is a necessary prerequisite for success, as is long-term training of patients in maintaining oral hygiene and postoperative care. Key words: multiple recession, gingival recession, coronally displaced flap, GTR membran