European Journal of Biomedical and Pharmaceutical Sciences

MODIFIED LATERALLY MOVED CORONALLY ADVANCED FLAP – AN EXTENDED ‘M’ INCISION TECHNIQUE.

Dr. Reshma T.S MDS, Dr. Remya RM MDS, Dr. Syed Owais Ahmed MDS and *Dr. Babu Salam C M.D.S

ABSTRACT

Introduction: The lateral pedicle flap technique is recommended if there is adequate amount of keratinized tissue present lateral to the tooth with recession type defect. Case presentation: This case report describes a modified version of the laterally moved coronally advanced flap by extending the horizontal submarginal incision. Placing this extended “M” incision helps to cover the accidentally exposed bone surface while preparing a split thickness flap and also allows primary intention wound healing as extended incision helps to cover the donor and the recipient site completely. The root coverage obtained using this technique was stable after 1 year of follow up. Conclusion: The Modified laterally moved coronally advanced flap – An extended „M‟ incision technique offers a predictable method of obtaining root coverage. The present technique relies on the placement of extended horizontal submarginal incision which widens the flap dimension allowing complete coverage.

Keywords: Periodontal surgery, wound healing, evidence based dentistry, cosmetic periodontal plastic surgery.