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Year : 2022  |  Volume : 12  |  Issue : 2  |  Page : 65-69

A novel application of partially epithelized-subepithelial connective tissue graft for management of complex mucogingival condition

Department of Periodontology, HP Government Dental College and Hospital, Shimla, Himachal Pradesh, India

Correspondence Address:
Dr. Deepak Sharma
Department of Periodontology, HP Government Dental College and Hospital, Shimla - 171 001, Himachal Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jid.jid_43_21

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Multiple adjacent gingival recessions in the mandibular anterior region are frequently associated with critical anatomic factors such as inadequate attached gingiva, high frenum insertion, or shallow vestibule. In addition, the loss of interdental soft and hard tissues make these mucogingival conditions more complex and challenging for the clinician. Multiple periodontal plastic surgical procedures are often required to treat such conditions which increase patient discomfort and surgical morbidity. The cases present for the first time a novel application of the bilaminar technique of reverse partially epithelized-subepithelial connective tissue graft (PESCTG) with bridge flap to treat severe multiple contiguous recessions and augment gingiva and vestibular depth in mandibular anterior teeth as a single-staged surgical approach. The technique achieved good esthetics and clinical outcomes in terms of recession coverage, increase in width and thickness of gingiva, and vestibular depth.

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