1Associate Professor, Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha ‘O'Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
2MPH Student, Department of Public Health, Regional Medical Research Centre, Chandrasekhar, Bhubaneswar, India
3Professor and Head, Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha ‘O'Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
The management of multiple adjacent gingival recessions often requires use of surgical procedures for covering the exposed root surfaces. The main requisite of such procedures requires the benefit of ease, avoiding second surgical site, and reduced post-operative complications. Coronally advanced flap is the treatment of choice to achieve complete root coverage in multiple adjacent recession type defects. This procedure takes in to account all patient related considerations and allows correction of all recession defects simultaneously with the soft tissues available adjacent to such defects. This case reports describes a modified approach of flap advancement using orthodontic buttons as anchorage for suspending sutures to facilitate coronal placement of gingival margin above the level of cemento-enamel junction during the early healing period for better outcome and root coverage.
Coronally advanced flap, Gingival recession, Orthodontic buttons, Root coverage
