Laterally Positioned Flap with Subepithelial Connective Tissue Graft Modified One-Stage Procedure for the Treatment of Deep Isolated Gingival Recessions in Mandibular Incisors

Figure 1

Schematic representation of the surgical technique. (a) Internal and external bevel incision, whereas flap will be positioned from tooth 42 to 41. (b) Intrasulcular incision in tooth 41. (c) Deepithelialization area providing laterally positioned flap (LPF) with an anchorage bed. (d) Delimitation of mixed thickness flap (purple color: split thickness; yellow color: full thickness) and preparation of surgical bed to receive connective tissue graft (CTG) (orange color: papilla deepithelialized; green color: tunnel). (e) Cross-section showing different thicknesses of flap that will be positioned laterally. (f) Flap prepared and positioned laterally. Papilla mesial of tooth 41 deepithelialized (orange color in (d)). (g) CTG positioned and stabilized in the created tunnel (green color in the (d)), over the gingival recession (GR) defect with extension to the flap donor area. (h) Flap positioned and stabilized with suture.

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