Author/Authors :
Francetti, Luca Department of Biomedical Surgical and Dental Sciences - Universita` degli Studi di Milano, Milan, Italy , Taschieri, Silvio Department of Biomedical Surgical and Dental Sciences - Universita` degli Studi di Milano, Milan, Italy , Cavalli, Nicolo Department of Biomedical Surgical and Dental Sciences - Universita` degli Studi di Milano, Milan, Italy , Corbella, Stefano Department of Biomedical Surgical and Dental Sciences - Universita` degli Studi di Milano, Milan, Italy
Abstract :
Purpose. .e aim of the present case report was to describe the retreatment of the single gingival recession in aesthetic area, in the
presence of scar formation and consequent impairment of aesthetic appearance. Methods. A young patient with one single
recession of 4 mm of 2.1 was treated with coronally advanced flap and subepithelial connective tissue graft, through a microsurgical approach that aimed at the removal of the scarred fibrous tissue. .e intervention was performed using a surgical
microscope as a magnification device. Results. Fifteen years after the surgical treatment, a substantial stable resolution of the
gingival recession could be observed. Moreover, a further improvement of the aesthetic appearance could be observed. Conclusions. .is case report suggests that periodontal microsurgery could be an effective approach for the retreatment of gingival
recessions and, in long-term evaluation, to reduce the aesthetic problem due to the presence of scar formation. Further studies
with a larger sample size are needed to better evaluate its efficacy.