Treatment of multiple gingival recessions in the aesthetic zone of the maxilla with coronally advanced flap with a lateral approach and a tunnel technique. A case report
Introduction: The presence of multiple recessions in the aesthetic zone of the upper jaw are associated with aesthetic dissatisfaction of the patient and hypersensitivity of the exposed root surfaces. Different surgical methods are indicated for the treatment of such clinical cases, allowing simultaneously complete root coverage of the exposed surfaces and maximum aesthetic result – matching the colour and equal borders of the mucogingival line. The triangular coronally advanced flap (CAF) demonstrates good aesthetic results and a high percentage of root coverage. Aim: The purpose of the presented clinical case is to demonstrate the efficacy of the triangular CAF with lateral approach in the therapy of multiple recessions in a patient with high aesthetic requirements. Case Presentation: A 35-year-old man with multiple Miller class 1 recessions in the aesthetic zone of maxilla was treated with a triangular CAF procedure with a lateral approach and, additionally, a tunnel technique between the central incisors was applied. Results: A harmonious gingival margin, complete root coverage, satisfactory aesthetics, and also elimination of hypersensitivity in the cervical area of the treated teeth are shown as a result of this surgical method for therapy of multiple gingival recessions. Conclusion: The presented case demonstrates good aesthetic results and 100% success using the triangular CAF technique in the treatment of multiple gingival recessions and confirms the good prognosis with this technique
