Treatment of non-carious cervical lesions with the de-epithelialized free gingival graft and coronal advancement flap method: Penanganan lesi servikal non karies dengan metode de-epithelialized free gingival graft dan coronal advancement flap

Daniel Tetan-El (Periodontology Specialist Educational Program Faculty of Dentistry, Hasanuddin University Makassar, Indonesia)
Hasanuddin Thahir (Periodontology Department Faculty of Dentistry, Hasanuddin University Makassar, Indonesia)
Jennifer Tjokro (Periodontology Specialist Educational Program Faculty of Dentistry, Hasanuddin University Makassar, Indonesia)

MDJ (Makassar Dental Journal)
Vol. 13 No. 1 (2024): Volume 13 Issue 1 April 2024

Gingival recession is the most common aesthetic problem related to periodontal tissues, especially when it occurs in the maxilla-ry anterior teeth. A 44-year-old man complained of receding gums that made it difficult to brush his teeth. In teeth 11-17, 21-27, 31, 32, 42-45 Miller Class III 2-3 mm gingival recession and type 2 non-carious cervical lesions. The gingival phenotype was mo-derate in size. The patient was referred to the Periodontics Department for perioesthetic treatment of de-epithelialised free gingi-val graft and coronal advancement flap. After prosthodontic treatment for the back teeth, a combination treatment of DFGG and modified envelope CAF was performed with a combination of full and partial thickness flaps. After 2 weeks, the healing process was found to be favourable aesthetically and functionally. The periodontal state was normal and the root coverage area was fa-vourable. It was concluded that gingival recession treated with de-epithelialised gingival graft combined with coronal advance-ment flap gave the best aesthetic and functional results. Gingival recession is the most common aesthetic problem related to periodontal tissues, especially when it occurs in the maxilla-ry anterior teeth. A 44-year-old man complained of receding gums that made it difficult to brush his teeth. In teeth 11-17, 21-27, 31, 32, 42-45 Miller Class III 2-3 mm gingival recession and type 2 non-carious cervical lesions. The gingival phenotype was mo-derate in size. The patient was referred to the Periodontics Department for perioesthetic treatment of de-epithelialised free gingi-val graft and coronal advancement flap. After prosthodontic treatment for the back teeth, a combination treatment of DFGG and modified envelope CAF was performed with a combination of full and partial thickness flaps. After 2 weeks, the healing process was found to be favourable aesthetically and functionally. The periodontal state was normal and the root coverage area was fa-vourable. It was concluded that gingival recession treated with de-epithelialised gingival graft combined with coronal advance-ment flap gave the best aesthetic and functional results.