Bracket Assisted Treatment of Multiple Gingival Recession Using Placental Membrane- A One Year Follow up Case Series

Abstract

Gingival recession is the apical migration of the junctional epithelium with exposure of the root surface. The treatment of buccal gingival recession is a common requirement due to esthetic concern or root sensitivity. Several surgical techniques have been proposed to treat gingival recession. The literature has documented that gingival recession can be successfully treated by means of several mucogingival surgical approaches irrespective of the technique utilized, provided that the biologic conditions for accomplishing root coverage are satisfied with no loss of soft and hard tissue height interdentally. The treatment of multiple adjacent recession type defect (MARTD) show some differences when compared with a single type of recession. The following is a case series of  three patients for evaluating the efficacy of modified approach of the coronally advanced flap with guided tissue regeneration membrane (GTR) (Amnion, Tata Memorial, Mumbai) for treating multiple adjacent gingival recession type defect assisted by orthodontic brackets.