Published date: Apr 25 2022

Journal Title: KnE Medicine

Issue title: The International Online Seminar Series on Periodontology in conjunction with Scientific Seminar

Pages: 232-243

DOI: 10.18502/kme.v2i1.10856

Rezmelia Sarirezmelia_sari@mail.ugm.ac.idDepartment of Periodontology, Faculty of Dentistry, Universitas Gadjah Mada Yogyakarta, Indonesia

Indi KusumawatiDepartment of Periodontology, Faculty of Dentistry, Universitas Gadjah Mada Yogyakarta and RSUD Waluyo Jati Kraksaan Probolinggo, Indonesia

Fauziah KarimahDepartment of Conservative Dentistry, Faculty of Dentistry, Universitas Gadjah Mada Yogyakarta, Indonesia

Ema MulyawatiDepartment of Conservative Dentistry, Faculty of Dentistry, Universitas Gadjah Mada Yogyakarta, Indonesia

Background: Gingival recession can cause esthetic problems, especially if it occurs in the maxillary anterior region. Gingival recession accompanied by endodontic complications requires a multidisciplinary approach to achieve successful therapy.

Objective: To report the treatment of Miller’s class-III gingival recession using laterally stretched flap + connective tissue graft with frenotomy and apicoectomy in one visit.

Case Report: A healthy 24-year-old man presented with chief complaints of open and painful gums on his left upper front tooth. After objective and radiographic examinations, the diagnosis of tooth 21 was Miller’s class-III gingival recession, that is, plaque and calculus with endo–perio lesions and grade 1 luxation. The treatment given included scaling, root planning, curettage, retreatment of root canal and root coverage therapy with frenotomy and apicoectomy.

Results: The results obtained were partial root coverage of 71.4% and an increase in the thickness of keratinized tissue.

Conclusion: Healing of periodontal tissue damage accompanied by endodontic lesions showed success and obtained stable treatment results with a multidisciplinary approach.

Keywords: Miller’s class-III gingival recession, endodontic lesion, laterally stretched flap, apicoectomy

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