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Case Reports in Dentistry
Volume 2014, Article ID 432960, 5 pages
Case Report

Multiple Marginal Tissue Recession Treated with a Simplified Lateral Sliding Flap Technique

1Masters of Science Program, Educational Foundation of Barretos, UNIFEB, 14783-226 Barretos, SP, Brazil
2Private Practice, 37958-000 Monte Santo de Minas, MG, Brazil
3School of Dentistry, Federal University of Goiás, 74605-220 Goiânia, GO, Brazil

Received 30 June 2014; Accepted 2 October 2014; Published 21 October 2014

Academic Editor: Hsein-Kun Lu

Copyright © 2014 Fernando Salimon Ribeiro et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Marginal tissue recession is a common esthetic problem that is usually accompanied by dentin sensitivity, and patients frequently report a fear of dental loss. Lateral sliding flaps have been used for localized recession, but they are rarely used for multiple recessions. The aim of this paper was to report a case of coverage of multiple marginal tissue recessions by means of a lateral sliding flap associated with a connective tissue graft. This was a modification of Nelson’s technique, which was originally described as the combination of the double papilla technique, lateral sliding flap, and connective tissue graft. In the present case, double papilla was not performed, rendering the maneuver less complicated. After surgery on teeth #23 to #25, total root coverage, decreased dentin sensitivity, and increased keratinized tissue band and gingival thickness were achieved. In the present case, modified Nelson technique proved to be a more simple procedure for the treatment of multiple recessions in one session, resulting in adequate healing, predictable root coverage, and, more importantly, esthetic and functional success.