Envelope Technique with Vestibular Releasing Incision - A Single Step Procedure for Root Coverage
Krishnajaneya Reddy Pathakota *
Department of Periodontics, Sri Sai College of Dental Surgery, Vikarabad, Telangana, India.
Naveen Anumala
Department of Periodontics, Sri Venkata Sai College of Dental Surgery, Mehaboob Nagar, Telangana, India.
Dilip Gopinath Nayak
Department of Periodontics, Manipal College of Dental Sciences, Mangalore, Karnataka, India.
Pradeep Koppolu
Department of Preventive Dental Sciences, Alfarabi Colleges, Riyadh, KSA.
Vani Chappidi
Department of Preventive Dental Sciences, Alfarabi Colleges, Riyadh, KSA.
*Author to whom correspondence should be addressed.
Abstract
Treatment of gingival recession in cases with a shallow vestibule and frenal pull are always challenging. Root coverage techniques have been continuously revised and simplified over the past few decades to obtain more predictable, esthetic, and stable results.
Case Presentation: Two healthy patients with isolated Miller’s class I gingival recession, shallow vestibules, and frenal pull, were treated with an envelope technique using connective tissue grafts with vestibular releasing incisions in a single step procedure.
Conclusion: The single step technique resulted predictable root coverage and increased width of keratinized gingiva. This technique promises to be a viable option for the treatment of isolated gingival recession associated with shallow vestibule and high frenal pull.
Keywords: Gingival recession, root coverage, envelope technique, connective tissue graft, vestibular releasing incision