Saddle flap technique, a modified coronally advanced flap approach for isolated gingival recession management was introduced and assessed in terms of clinical efficacy and patient satisfaction. A total of 10 systemically healthy subjects with isolated gingival recession defect (Miller Class I and II) were enrolled in the study. The primary endpoint measure was patient satisfaction in terms of esthetics and percentage root coverage. The secondary outcome measures comprised clinical attachment level change, gingival thickness variation, width of keratinized tissue alteration, and postoperative healing. At 1 year postoperative, 80% of the treated sites achieved 100% root coverage. Based on clinical results, saddle flap technique could be considered as one of the possible treatment options for isolated gingival recession with good esthetic and patient satisfaction.

This case report aimed to treat a 48-year-old healthy male patient with a chief complaint of sensitivity and receding gums concerning the lower front tooth region. Intraoral examination revealed class I gingival recession i.r.t. 31 and 41. A two-stage modied approach using de-epithelialized gingival graft (DGG) was used to increase the gingival thickness at rst stage followed by the minimally invasive pouch and tunnel technique with bi-layered A-PRF membrane in the second stage to achieve complete root coverage. 3 months after the rst stage there was an increase in gingival thickness which can be owed to the use of DGG. One year following the second stage complete root coverage with stable gingival thickness and reduced root sensitivity was observed, Thus, this modied two-stage approach could be successfully used for the treatment of class I and II gingival recession.