| CASE REPORT |
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| Year : 2013 | Volume
: 3
| Issue : 1 | Page : 29-32 |
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Interdisciplinary approach for the treatment of multiple adjacent recession type defects
S Janitha1, K Srikumar Prabhu2, Ramya Raghu3, Raghu Srinivasan4
1 Department of Periodontics, Government Dental College and Research Institute, Bangalore, India
2 Department of Periodontics, Krishnadevaraya College of Dental Sciences, Bangalore, India
3 Department of Conservative Dentistry and Endodontics, Bangalore Institute of Dental Sciences, Bangalore, India
4 Department of Conservative Dentistry and Endodontics, AECS Maruthi Dental College, Bangalore, India
Correspondence Address:
S Janitha
Department of Periodontics, Government Dental College and Research Institute, Bangalore
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/2229-5194.120525
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Multiple adjacent recession type defects in the dentition of an individual are routinely encountered in the clinical practice, and hence present a challenge for management. If left untreated or unmonitored, they can be detrimental to periodontal or dental health. Patient esthetic demands have become so stringent that root-coverage procedures carried out should provide soft-tissue anatomy comparable to and indistinguishable from adjacent tissue. A combination of semilunar flap and veneers was used to treat such a kind of defect in a 45-year-old female patient complaining of unsightly and long appearing teeth since 4 years. The present case report demonstrates that the semilunar flap can be an effective treatment for the management of multiple recession defects affecting adjacent teeth. This surgical technique resulted in 100% root coverage of all the anterior teeth except 22 at 10-month post-treatment examination. Further, follow-up is required to evaluate the stability of this treatment.
Clinical relevance to interdisciplinary dentistry
- Biologic width violation is one of the contributing factors for gingival recession.
- Multiple adjacent recession type defect with altered pink to white ratio in the esthetic zone is a challenge for management.
- Altered pink to white ratio in such cases may be treated with a combination of semilunar flap and veneers.
- Team approach needed to decide on the location of the gingival margin and veneer margin to create ideal, stable dentogingival relationships.
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