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Quintessence Publishing: Journals: IJED

 

The International Journal of Esthetic Dentistry

Edited by Alessandro Devigus, DMD

Official publication of the European Academy of Esthetic Dentistry, the Arabian Academy of Esthetic Dentistry, the British Academy of Aesthetic Dentistry, the Hellenic Academy of Esthetic Dentistry, the Scandinavian Academy of Esthetic Dentistry and the South African Academy of Aesthetic Dentistry

ISSN 1862-0612

Publication:

Winter 2016
Volume 11 , Issue 4

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The connective tissue graft wall technique to improve root coverage and clinical attachment levels in lingual gingival defects

Giovanni Zucchelli, DDS, PhD / Valentina Bentivogli, DDS, MSc / Sabrina Ganz, DDS, MSc / Pietro Bellone, DDS, MSc / Claudio Mazzotti, DDS, MSc

Pages: 538–548
PMID: 27730223

The present case report describes the application of the connective tissue graft wall (CTGW) technique for the treatment of deep lingual gingival recessions associated with probing pockets and bone loss. Two deep lingual gingival recessions affecting the mandibular central incisors associated with severe lingual attachment and bone loss were treated. The surgical technique comprised a connective tissue graft (CTG) placed below a trapezoidal-type coronally advanced flap (CAF) acting as a lingual soft tissue wall of the infrabony defect. One year after the surgery, clinically significant root coverage, an increase in lingual keratinized tissue (KT) height and thickness, and clinical attachment level gain were achieved in both treated teeth. This case report encourages the application of the CTGW technique to improve both root coverage and regenerative parameters in lingual gingival recessions associated with severe attachment and bone loss.

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