Double Laterally Positioned Flap in the Treatment of two Contiguous Gingival Recessions in the Lower Incisors

Gingival Recession is defined as the apical location of the gingival margin in relation to the cementoenamel junction (JEC) of a tooth which causes root exposure in the oral cavity. Several surgical techniques have been proposed for the treatment of this pathology. Laterally Positioned Flap is the method of choice whenever the keratinized gingiva adjacent to the defect is adequate in length and thickness and there is not enough keratinized gingiva apical to the recession to be coronal repositioned. This poster reports a clinical case of a 23-year-old female presented two Miller's class III gingival recessions in teeth 31 and 41. According to the clinical picture, and in order to resolve the aforementioned situation in a single surgical time, the following treatment plan was established: Double laterally positioned flap + Enamel matrix proteins derivatives + Connective tissue graft.
Different degrees of complexity are emerging in the treatment of gingival recessions. The dentist must be able to interconnect techniques and modifications in order to establish the most appropriate treatment plan for each situation. The double laterally positioned flap was effective in the treatment of two contiguous gingival recessions in a single surgical procedure.