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Volume 32 , Issue 6
December 2012
Pages 647–654

Subepithelial Connective Tissue Graft in Combination with a Coronally Advanced Flap for the Treatment of Miller Class II and III Gingival Recessions in Mandibular Incisors: A Case Series

José Nart, DDS, PhD/Cristina Valles, DDS/ Santiago Mareque, DDS/Antonio Santos, MD, DDS, MS, PhD/ Javier Sanz-Moliner, DDS/Andrés Pascual, DDS

PMID: 23057054
DOI: 10.11607/prd.00.1120

Limited evidence is available regarding the effect of the subepithelial connective tissue graft (SCTG) on root coverage in the mandibular anterior region. A technique is described using an SCTG with a coronally advanced flap (CAF) for the treatment of Miller Class II and III gingival recessions in mandibular central incisors. Fourteen Miller Class II and III recessions were treated in 10 patients using an SCTG with a CAF. After a mean follow-up of 11.7 months, 90.22% ± 12.36% root coverage was achieved. There were no statistically significant differences in root coverage for Miller Class II and III recession defects. Complete root coverage was achieved at five (71.42%) Miller Class II sites compared with three (42.85%) Class III defects. These results suggest that the combination of an SCTG and CAF is an effective technique to obtain root coverage in mandibular incisors with Class II and III recession defects, with excellent patient satisfaction regarding the esthetic appearance of the treated teeth. (Int J Periodontics Restorative Dent 2012;32:647–654.)

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