Treatment of Gingival Recessions on Mandibular Anterior Teeth

Treatment of Gingival Recessions on Mandibular Anterior Teeth
Ben guiza zeineb 1, Wafa Nasri 1,Chaima Hammemi 1
1University of Monastir, Faculty of dental Medicine, Department of Periodontology, Oral Health and Oro-Facial Rehabilitation
Laboratory Research LR12ES11, 5019,Monastir, Tunisia
Abstract:The aim of this case report was to describe and discuss two different surgical techniques for the treatment of mandibular gingival recessions.
Background: Although mandibular teeth have a significantly higher prevalence of gingival recession than maxillary teeth, there is lack of evidence on the treatments of recessions on mandibular incisors. Various surgical strategies have been proposed for the correction of mandibular gingival recessions including free gingival graft or subepithelial connective tissue grafts in conjunction with various types of flaps.

Case description:
Case 1: a patient with RT1 gingival recession on the mandibular canine was treated with a laterally closed tunnel
(LCT) and a connective tissue graft (CTG) obtained from a deepithelized palatal graft. Complete root coverage (CRC) and excellent esthetic result have been noted.
Case 2: A patient with RT2 gingival recession on the mandibular incisors was treated with a Free gingival graft (FGG)
obtained from the palatal side. Complete root coverage CRC has been noted a poor color matching with the surrounding soft tissues.
Conclusion: Treatment with CTG in the treatment of RT1 or RT2 gingival recession located in Mandibular Anterior Teeth provide better results in terms of root coverage and esthetic outcome than FGG.
Keywords— root coverage, Free gingival graft, connective tissue ARTICLE pdf (2)graft , gingival recession, esthetic outcome.