Orthodontic button-assisted coronally advanced flap for treatment of multiple teeth recession: A case report with literature review

Aim: The present report aims in determining the efficacy of orthodontic button assisted coronally advanced flap in the treatment of multiple teeth gingival recession and to analyze the literature evidence for the same. Background: Gingival recession is one of the commonest periodontal problems encountered in daily practice. Coronally advanced flap is the treatment of choice for a recession in multiple teeth. But stabilizing the flap in coronally advanced position is a challenge. In this case report, orthodontic buttons are used to stabilize the coronally advanced flap for root coverage in multiple teeth Case description: A 36-year-old male patient with multiple gingival recession in maxillary teeth reported with a complaint of sensitivity in the same region. So the case was managed with orthodontic button-assisted coronally advanced flap. Clinical periodontal parameters were recorded at baseline and the patient was followed for 1, 3 and 6 months postoperatively. Conclusion: Clinically there was a significant improvement in the parameters from baseline to 1 and 3 months, and the results were stable until 6 months. Literature evidence also showed that coronally advanced flap with orthodontic buttons was clinically better that coronally advanced flap alone. Clinical significance: Stabilization of the coronally advanced flap by orthodontic buttons will prevent apical movement of the advanced margins and will result in better root coverage and stable results over a long period.