Root coverage with bridge flap
A 34-year-old male patient reported in the Faculty of Dental Sciences with a chief complaint of unesthetic gums in upper right anterior teeth. The recession was Grade II, according to Miller's classification, in teeth 13, 12, 11 []. The recession was about 4 mm, 3 mm, and 2 mm, respectively, in 13, 12, and 11, and the width of attached gingiva was 2 mm. IOPA radiograph revealed adequate bone support. Patient had no contributory medical history, so a surgical procedure was planned after complete scaling and root planing. After local anesthesia was administered, an incision was made in the vestibule from 14 to 11 [], beyond the mucogingival junction, for vestibular deepening with fenestration technique to increase the width of attached gingiva. Then, with sulcular incisions, a coronally advanced flap was raised with split-thickness flap from 13 to 11 []. No vertical incisions were made. Thereafter, root conditioning was done with tetracycline HCl. Then, the flap was repositioned coronally with interrupted stabilization sutures [], and in the vestibule, epithelium was sutured with the periosteum []. Sutures were resorbable in nature. Patient was discharged with post-surgical instructions and medications. Patient was recalled after 7 days for suture removal. Healing was satisfactory with no postoperative complications []. Postoperative recession was now 2 mm, 1 mm, and 1 mm, respectively. Patient was instructed to use soft toothbrush and was monitored weekly; 11 months follow-up showed no recurrence.