J Interdiscip Dentistry
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CASE REPORT
Year : 2013  |  Volume : 3  |  Issue : 1  |  Page : 29-32

Interdisciplinary approach for the treatment of multiple adjacent recession type defects


1 Department of Periodontics, Government Dental College and Research Institute, Bangalore, India
2 Department of Periodontics, Krishnadevaraya College of Dental Sciences, Bangalore, India
3 Department of Conservative Dentistry and Endodontics, Bangalore Institute of Dental Sciences, Bangalore, India
4 Department of Conservative Dentistry and Endodontics, AECS Maruthi Dental College, Bangalore, India

Correspondence Address:
S Janitha
Department of Periodontics, Government Dental College and Research Institute, Bangalore
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2229-5194.120525

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Multiple adjacent recession type defects in the dentition of an individual are routinely encountered in the clinical practice, and hence present a challenge for management. If left untreated or unmonitored, they can be detrimental to periodontal or dental health. Patient esthetic demands have become so stringent that root-coverage procedures carried out should provide soft-tissue anatomy comparable to and indistinguishable from adjacent tissue. A combination of semilunar flap and veneers was used to treat such a kind of defect in a 45-year-old female patient complaining of unsightly and long appearing teeth since 4 years. The present case report demonstrates that the semilunar flap can be an effective treatment for the management of multiple recession defects affecting adjacent teeth. This surgical technique resulted in 100% root coverage of all the anterior teeth except 22 at 10-month post-treatment examination. Further, follow-up is required to evaluate the stability of this treatment. Clinical relevance to interdisciplinary dentistry
  1. Biologic width violation is one of the contributing factors for gingival recession.
  2. Multiple adjacent recession type defect with altered pink to white ratio in the esthetic zone is a challenge for management.
  3. Altered pink to white ratio in such cases may be treated with a combination of semilunar flap and veneers.
  4. Team approach needed to decide on the location of the gingival margin and veneer margin to create ideal, stable dentogingival relationships.


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