Comparative evaluation of coronally advanced flap alone and in combination with periosteal pedicle graft in the management of localized gingival recession.

BACKGROUND

Root coverage following gingival recession is often performed for cosmetic reasons to reduce root sensitivity or to treat root caries and cervical abrasions. The subepithelial connective tissue graft is considered the gold standard for esthetically correcting gingival recession.

AIM: This study aimed to evaluate the clinical efficacy of coronally advanced flaps in the treatment of localized gingival recession, both as a standalone procedure and in combination with periosteal pedicle grafts.

MATERIALS AND

METHODS

A split-mouth design was employed involving 10 patients with bilateral, nearly identical Miller's class I or II facial recession defects of 2 mm on anterior or premolar teeth. Clinical parameters, including plaque index, gingival index, probing pocket depth, and clinical attachment level, were recorded at baseline, 3-month, and 6-month posttreatment.

RESULTS

Both groups showed significant clinical improvements in all measured parameters. Although Group I (periosteal pedicle graft combined with coronally advanced flap) demonstrated somewhat better results than Group II (coronally advanced flap alone), the differences were not statistically significant.

CONCLUSION

Within the limitations of this study, the periosteal pedicle graft combined with the coronally advanced flap technique provided greater root coverage compared to the coronally advanced flap alone, but this difference was not statistically significant.