EC Dental Science

Patients with gingival recession worry about the exposed root surface, hypersensitivity of the root, abrasion of the root surface, high rate of root caries, impaired control of plaque, and reduced aesthetics of restorative care. The surgical covering of the gingival recession's exposed root surface can fix all of these dental issues. The present case file was designed for treatment of receding gums by the periosteum reversal technique. A patient with Miller class II receding gums of 5.1 mm and 4.8 mm in relation to #11 and #21 and probing depth of 1.8 mm and 2.0 mm respectively was treated by the periosteal reversal technique. Using this method, a partial-thickness flap was created, and periosteum was reflected and reversed on the exposed root surface, which stays pedicle crestly, apical to recession. At the end of 12 months, 95% root coverage for #11 and #21 i.e. 4.8 mm and 4.5 mm respectively, and 1.5 mm and 1.8 mm respectively probing depth were obtained. Consequently, gingival recession can be effectively covered by using the periosteal reversal procedure.

 Keywords: Uncovered Root Surface; Gingival Recession; Periosteum; Root Coverage

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