Isolated gingival recession treated with double papilla repositioned flap: a case report

Cosmetic treatments have become an essential part of periodontal therapy. One of the commonly used esthetic periodontal procedures is coverage of denuded root surface. Over the years, different surgical techniques are proposed to treat various gingival recession defects. In cases of isolated recession defects, the most employed techniques are the coronally advanced flap, laterally repositioned flap, free gingival autografts, and pedicle grafts. Among the pedicle grafts, the choice of using a double papilla repositioned flap is considered ideal when the tissue at the adjacent donor site is adequate. The use of wide papillae on either side of the defect helps in precise flap approximation and dual blood supply. This case report explains the treatment of class 1 gingival recession associated with dentinal hypersensitivity using a double-papilla flap technique. The promising result suggests that this technique can be used in severe gingival recession cases.