The clinical outcomes of coronally advanced flap versus bilaminar technique for treatment of multiple gingival recessions: a split-mouth case report with five years follow-up

Abstract

The aim of this split mouth case presenta9on was to compare the clinical outcomes in terms of complete root coverage (CRC) and buccal so< 9ssue thickness between the coronally advanced flap (CAF) alone and coronally advanced flap plus connec9ve 9ssue gra< (CAF+CTG) in a 5 years follow up. Material and Methods: A periodontally healthy 30 years old female patient presented with mul9ple gingival recessions in the both sides of the upper jaw due to inadequate oral hygiene habits. All recessions fell under Miller 1, Cairo RT-1 class. On the one side, the recessions were treated with coronally advanced envelope flap design (DeSan9s, Zucchelli), whereas on the contralateral side an autogenous connective tissue graft was also used in a bilaminar technique manner. The used connective tissue graft from the palatal donor site resulted from extraoral eepithelization of a gingival graft (DGG). The graft was adapted and stabilized to the root surfaces using resorbable 6.0 PGA suture. The flap on both sides was coronally advance