Journal of Contemporary Dentistry

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VOLUME 7 , ISSUE 2 ( May-August, 2017 ) > List of Articles

CASE REPORT

Clinical Application of Modified Apically Repositioned Flap in Class III/IV Gingival Recession Cases

Manab Kosala, Vivek Bapurao Mandlik, Harjeet Singh

Citation Information : Kosala M, Mandlik VB, Singh H. Clinical Application of Modified Apically Repositioned Flap in Class III/IV Gingival Recession Cases. J Contemp Dent 2017; 7 (2):130-134.

DOI: 10.5005/jp-journals-10031-1200

License: CC BY 3.0

Published Online: 01-08-2017

Copyright Statement:  Copyright © 2017; The Author(s).


Abstract

Aim

Mucogingival conditions may be detected during a comprehensive or problem-focused periodontal examination. The aim of periodontal therapy is to help maintain the dentition or its replacements in health with good function and esthetics, and may include restoring anatomic form and function. A further goal is to reduce the risk of progressive recession. Among the procedures, root coverage has attracted the most interest. A predictable gain can be achieved in class I or II recession cases, but prognosis tends to be poor for class III and IV. The purpose of this case series was to clinically evaluate the efficacy of modified apically repositioned flap in increasing the dimensions of the keratinized tissue in apical direction in class III or IV gingival recession.

Materials and methods

A total of seven systemically healthy patients with class III or IV recession involving one or more teeth in mandibular anterior region were selected for the study. Primary parameters assessed were width of keratinized gingiva and pocket depth.

Results

The mean apicocoronal gain in the keratinized tissue at 6 months was 2.14 mm with mean baseline value of 1.43 mm and 6 months value at 3.57 mm. The clinical gain was statistically significant with p-value <0.05.

Conclusion

Modified apically displaced flap offers an easy and predictable approach for increasing the width of keratinized tissue.

How to cite this article

Singh H, Kosala M, Mandlik VB. Clinical Application of Modified Apically Repositioned Flap in Class III/IV Gingival Recession Cases. J Contemp Dent 2017;7(2):130-134.


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