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Case Reports in Dentistry
Volume 2015, Article ID 124039, 4 pages
Case Report

Periosteal Pedicle Flap Harvested during Vestibular Extension for Root Coverage

1Department of Periodontics, Sardar Patel Post Graduate Institute of Dental & Medical Sciences, Lucknow, Uttar Pradesh 226025, India
2Department of Periodontics, Vyas Dental College & Hospital, Jodhpur, Rajasthan 342003, India

Received 16 October 2015; Accepted 25 November 2015

Academic Editor: Sukumaran Anil

Copyright © 2015 Shubham Kumar 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.


Root exposure along with inadequate vestibular depth is a common clinical finding. Treatment option includes many techniques to treat such defects for obtaining predictable root coverage. Normally, the vestibular depth is increased first followed by a second surgery for root coverage. The present case report describes a single-stage technique for vestibular extension and root coverage in a single tooth by using the Periosteal Pedicle Flap (PPF). This technique involves no donor site morbidity and allows for reflection of sufficient amount of periosteal flap tissue with its own blood supply at the surgical site, thus increasing the chances of success of root coverage with simultaneous increase in vestibular depth.