Modified Semilunar Coronally Advanced Flap

Abstract

This technique will be particularly valuable when previous attempts for root coverage with soft tissue autografts have resulted in residual recession defects on adjacent teeth and in a thicker-tissue biotype that would be amenable to partial-thickness dissection. An adequate thickness of tissue that will allow a partial-thickness flap dissection is required to avoid tooth or alveolar bone fenestrations. This technique provides better control over flap repositioning than previously described semilunar coronally advanced flaps.

The comparison of modified semilunar technique in conjunction with connective tissue and subepithelial connective tissue graft for root coverage: a randomized controlled trial

“…In a case series study, Pai et al investigated the modified semilunar coronally advanced flap procedure which was introduced by Kamran Haqiqat (29) in 2006 (30). Some of its benefits are better control of flap displacement as well as apical tissues tension reduction during root coverage of adjacent teeth (29). This technique requires sufficient thickness and width of keratinized tissue in the apical defect (29).…”

“…Some of its benefits are better control of flap displacement as well as apical tissues tension reduction during root coverage of adjacent teeth (29). This technique requires sufficient thickness and width of keratinized tissue in the apical defect (29). In the modified semilunar technique which has been introduced in this study, as the width of keratinized gingiva significantly increases after surgery, the width of the keratinized gingiva is not required before the surgery and, in addition, the short incision line that is a special feature of modified semilunar technique leads to lower pain and postsurgical discomfort in subjects rather than the modified semilunar coronally advanced flap.…”

Modified semilunar coronally advanced flap: A case series

“…Suturing helped in stabilization of mobilized pedicle and helped in bringing the marginal tissues to the desired location. [22] This technique allowed for better control over flap repositioning and also reduces apical tissue retraction while attempting for root coverage on multiple adjacents. [22] It is useful in highly scalloped gingival margins where coronal manipulation and stability are difficult.…”

“…[22] This technique allowed for better control over flap repositioning and also reduces apical tissue retraction while attempting for root coverage on multiple adjacents. [22] It is useful in highly scalloped gingival margins where coronal manipulation and stability are difficult. [22] To employ this technique, adequate thickness and width of keratinized tissue should be present apical to the defect.…”

A New Innovative Approach for Treatment of Gingival Recession: A Clinical Case

“…Root coverage techniques can be broadly divided into transposition of free tissue graft or transposition of periodontal flaps or application of membrane, although combination procedures, with or without adjunctive regenerative and root biomodification procedures, using citric acid, tetracycline, and ethylenediaminetetraacetic acid. 9 Therefore, the best clinical results for covering extended denuded root surfaces are achieved by free soft tissue graft surgical techniques but this leads to donor site morbidity. 10 To exploit the advantages of a connective tissue graft on the one hand and to avoid donor siterelated problems on the other, a new surgical technique for root coverage has been developed over the last few years.…”