Introduction

In recent years several methods have been described for the treatment of deep Miller-class-II-recessions. Most of these techniques concentrate on single recessions or one deep recession accompanied by just slight neighboring root denudations. A modified technique is presented for treating two or more deep recessions beyond the mucogingival margin combining a subepithelial connective tissue graft, enamel matrix derivative and a multiple pedicle coronally advanced flap. As far to our knowledge this is the first report to describe the treatment of multiple deep Miller-Class-II-recessions exceeding beyond the mucogingival junction using a pedicled advanced flap.

Case presentation

A 29-year-old woman was referred to the periodontal practice of JT for the treatment of progressive deep Miller-class-II-recessions. The root coverage procedure was performed by a modified multiple pedicle flap combined with a connective tissue graft harvested from the palate and enamel matrix derivative. The case was followed up for two years.

Conclusions

This modified technique of a multiple pedicled flap is a feasible and useful method for treating several deep neighboring recessions. Due to the improved incision techniques scar tissue formation might be reduced not to interfere with the aesthetic result.

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