La Terra Salvatore L, Travaglini Domenico, Caccianiga Gianluigi, Alzahrani Faisal, Alabeedi Faris M
Faculty of Natural Health Science, Regenerative Cellular Therapy, Selinus University, London, GBR.
Periodontology, Oral Surgery, Private Dental Clinic, Rome, ITA.
Cureus. 2025 Jan 6;17(1):e76990. doi: 10.7759/cureus.76990. eCollection 2025 Jan.
Gingival recession is a prevalent condition with significant aesthetic and functional consequences. This case report is about a 36-year-old female who presented with multiple Miller's Class I gingival recession defects affecting teeth from 22 to 25. A modified envelope flap technique was utilized, incorporating connective tissue graft (CTG) harvested from the palate and supplemented with enamel matrix derivatives (EMD). The treatment resulted in significant root coverage in all treated sites. The patient reported high satisfaction with the aesthetic and functional improvements. This case report demonstrates the successful application of a combined approach utilizing a modified envelope flap, CTG, and EMD for the treatment of multiple gingival recessions. The findings suggest the potential of this technique for achieving predictable and favorable outcomes in similar cases.
牙龈退缩是一种普遍存在的情况，会产生显著的美学和功能影响。本病例报告讲述的是一名36岁女性，其存在多个影响22至25号牙的米勒I类牙龈退缩缺损。采用了改良的信封瓣技术，联合使用从腭部获取的结缔组织移植片（CTG）并辅以釉基质衍生物（EMD）。治疗使所有治疗部位都实现了显著的牙根覆盖。患者对美学和功能改善表示高度满意。本病例报告展示了联合应用改良信封瓣、CTG和EMD治疗多处牙龈退缩的成功应用。研究结果表明该技术在类似病例中取得可预测和良好效果的潜力。
