Case of the Month

Periosteal eversion technique for the root coverage of Miller's Grade III recession in 31 and 41

 

 
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Pre-operative image

Miller's Grade III recession seen in relation to 31 and 41 with inadequate width of attached gingiva.

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POST-OPERATIVE IMAGE

Coronal advancement of the flap to cover the recession defect held in place with vicryl sutures..

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Eversion of periosteum

Partial thickness flap elevated and periosteum everted towards the lingual aspect.

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graft placement

Corticotomy of alveolar bone to allow incorporation of bone graft. PRF membrane adapted to hold the graft in place and act as a barrier.

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periosteal closure

The periosteum is everted back to the labial aspect to cover the graft and PRF membrane and the flap is approximated.