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Quintessence Publishing: Journals: QI
Quintessence International

Edited by Eli Eliav

ISSN 0033-6572 (print) • ISSN 1936-7163 (online)

January 2013
Volume 44 , Issue 1

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Bidirectionally positioned flap surgery: A case report with 3-year follow-up

Iwano, Yoshihiro / Sato, Shuichi / Ito, Koichi

Pages: 25 - 28
PMID: 23444158
DOI: 10.3290/j.qi.a28743

A new technique to cover recessions to take advantage of connective tissue grafts and coronally advanced flaps is proposed. A 34-year-old woman presented with a 2-mm Class I recession on the buccal aspect of her maxillary right canine. A full-thickness flap was placed coronally to cover the exposed root, and a partial thickness flap was positioned apically. Complete root coverage was obtained, and the width of keratinized tissue had increased from 2 to 4 mm at the 6-month postoperative visit. These clinical outcomes were maintained for 3 years. This single surgical approach benefits from obtaining not only complete root coverage but also increasing width of keratinized tissue, without requiring a second surgical site. Keywords: connective tissue graft, coronally advanced flap, Miller Class I recession

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