Abstract：
BACKGROUND: Gingival recession can be considered an undesirable condition that results in the exposure of the root surface. There are many techniques that can be employed to address gingival recession; however, they frequently involve a second surgical site. Other approaches have been introduced in the past to address this concern, and this case study discusses the use of a modified technique to achieve root coverage.
METHODS: A patient presented to the periodontics clinic with concerns regarding gingival recession. A modification to the semilunar technique was employed to address the recession, whereas double sling sutures were utilized to maintain the coronal repositioning of the flap.
RESULTS: Maxillary central incisors initially presented with 2-3 mm of facial recession and root coverage was achieved by use of a modified surgical semilunar approach. No rebound noted over a 6-month period, newly established gingival margin deemed clinically stable.
CONCLUSIONS: This case study provides an alternative to addressing gingival recession in the maxillary anterior region, when <3 mm of recession is noted. Avoidance of a second surgical procedure and/or donor site is of particular benefit, as well as maintenance of the blood supply.
CONCLUSIONS: Why is this case new information? There is insufficient evidence on the use of a modified wingspan incision design Phenotype modification with elimination of a second surgical site is most ideal for the patient. What are the keys to successful management of this case? Comprehensive diagnosis and proper case selection Meticulous flap management and adequate release to allow for repositioning without tension Appropriate use ofsuture and suturing technique. What are the primary limitations to success in this case? Thin periodontal phenotype Poor oral hygiene and plaque accumulation postoperatively Loss to follow-up.
METHODS: A patient presented to the periodontics clinic with concerns regarding gingival recession. A modification to the semilunar technique was employed to address the recession, whereas double sling sutures were utilized to maintain the coronal repositioning of the flap.
RESULTS: Maxillary central incisors initially presented with 2-3 mm of facial recession and root coverage was achieved by use of a modified surgical semilunar approach. No rebound noted over a 6-month period, newly established gingival margin deemed clinically stable.
CONCLUSIONS: This case study provides an alternative to addressing gingival recession in the maxillary anterior region, when <3 mm of recession is noted. Avoidance of a second surgical procedure and/or donor site is of particular benefit, as well as maintenance of the blood supply.
CONCLUSIONS: Why is this case new information? There is insufficient evidence on the use of a modified wingspan incision design Phenotype modification with elimination of a second surgical site is most ideal for the patient. What are the keys to successful management of this case? Comprehensive diagnosis and proper case selection Meticulous flap management and adequate release to allow for repositioning without tension Appropriate use ofsuture and suturing technique. What are the primary limitations to success in this case? Thin periodontal phenotype Poor oral hygiene and plaque accumulation postoperatively Loss to follow-up.
摘要：
背景：牙龈衰退可以被认为是一种不良状况，会导致牙根表面暴露。有许多技术可以用来解决牙龈衰退;然而，它们经常涉及第二个手术部位。过去已经引入了其他方法来解决这一问题，本案例研究讨论了使用改进的技术来实现根覆盖。
方法：一名患者就诊于牙周病诊所，担心牙龈萎缩。对半月技术进行了修改，以解决经济衰退，而双吊带缝合线用于维持皮瓣的冠状重新定位。
结果：上颌中切牙最初表现为2-3mm的面部凹陷和根部覆盖，这是通过使用改良的手术半月入路实现的。在6个月内没有发现反弹，新建立的牙龈边缘被认为是临床稳定的。
结论：本病例研究提供了解决上颌前区牙龈退缩的替代方法，当<3毫米的衰退被注意到。避免第二次外科手术和/或供体部位是特别有益的。以及维持血液供应。
结论：为什么这种情况是新的信息？没有足够的证据表明使用改良的翼展切口设计表型改良并消除第二个手术部位对患者来说是最理想的。精心的皮瓣管理和充分的释放以允许在没有张力的情况下重新定位适当使用缝合和缝合技术。在这种情况下成功的主要限制是什么？牙周表型薄口腔卫生差和术后牙菌斑积累丧失随访。
方法：一名患者就诊于牙周病诊所，担心牙龈萎缩。对半月技术进行了修改，以解决经济衰退，而双吊带缝合线用于维持皮瓣的冠状重新定位。
结果：上颌中切牙最初表现为2-3mm的面部凹陷和根部覆盖，这是通过使用改良的手术半月入路实现的。在6个月内没有发现反弹，新建立的牙龈边缘被认为是临床稳定的。
结论：本病例研究提供了解决上颌前区牙龈退缩的替代方法，当<3毫米的衰退被注意到。避免第二次外科手术和/或供体部位是特别有益的。以及维持血液供应。
结论：为什么这种情况是新的信息？没有足够的证据表明使用改良的翼展切口设计表型改良并消除第二个手术部位对患者来说是最理想的。精心的皮瓣管理和充分的释放以允许在没有张力的情况下重新定位适当使用缝合和缝合技术。在这种情况下成功的主要限制是什么？牙周表型薄口腔卫生差和术后牙菌斑积累丧失随访。
