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Dr Roopse Singh
Dr. Nancy Saxena
Dr Mehvish Saleem
Dr Simran Mishra
Dr Mayur Kaushik




Gingival recession, the apical shift of the gingival margin, results in root surface exposure. Its aetiology is multifactorial, including teeth position within the dental arch, bony dehiscence, alveolar mucosa thickness, incorrect toothbrushing, orthodontic treatment, and periodontal disease. With the introduction of minimally invasive surgery, various techniques proposed for managing Gingival recession minimize patient morbidity and maximize surgical outcomes. The present case report includes two patients with primary complaint of sensitivity and poor aesthetics in the upper front teeth regions. In one patient, Pin Hole technique was planned, while in the other patient, Modified Coronally Advanced Tunnel (MCAT) was performed. Post-operative healing was uneventful, with significant recession reduction in both the cases and an increase in the width of the attached gingiva at both sites. Gingival recession, apart from posing as an aesthetic complication, also results in tooth sensitivity. This makes the management of Gingival recession very important for which multiple treatment modalities are available. The current case report highlights the success of the two minimally invasive techniques in managing isolated gingival recession

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1. Pradeep K, Rajababu P, Satyanarayana D, Sagar V. Gingival Recession: Review and Strategies in Treatment of Recession. Case Reports in Dentistry 2012;10:1155-1158.
2. Agarwal MC, Kumar G, Manjunath RGS, Karthikeyan SSS, Gulmmaluri SS. Pinhole surgical technique – A novel minimally invasive approach for treatment of multiple gingival recession defects: A case series. Contemp Clin Dent 2020;11:97-100.
3. Saleem M, Kaushik M, Ghai A, Tomar N, Singh S. Ligaplants: A Revolutionary Concept in Implant Dentistry. Annals of Maxillofacial Surgery 10(1):p 195-197, Jan–Jun 2020.
4. Mostafa D, Mandil OA. Treatment of gingival recession defects using non-invasive pinhole technique with propolis application, a case report. Int J Surg Case Reports 2021;83:106042-106044.
5. Molnar B, Aroca S, Dobos A, Orba K, Szabo J, Windich P, et al. Treatment of multiple adjacent RT 1 gingival recessions with the modified coronally advanced tunnel (MCAT) technique and a collagen matrix or palatal connective tissue graft: 9-year results of a split-mouth randomized clinical trial. Clin Oral Invest 2022;26:7135–7142.
6. Gorski B, Gorska R, Szerszen M, Kaczynski T. Modified coronally advanced tunnel technique with enamel matrix derivative in addition to subepithelial connective tissue graft compared with connective tissue graft alone for the treatment of multiple gingival recessions: prognostic parameters for clinical treatment outcomes. Clin Oral Invest 2022;26:673–688.
7. Yadav VS, Kamra P, Deepti, Singh N, Bhatia A, Yadav R. Treatment of multiple lingual gingival recession defects. J Int Acad Perio 2021;23:282–288.
8. Agarwal M, Dhruvakumar D. Coronally Repositioned Flap with Bioresorbable collagen membrane for Miller’s Class I and II Recession Defects: A case series. Med Princ Pract 2019;28:477-480.
9. Ashraf T, Jan S, Behal R. Utilization of resorbable guided tissue regeneration membrane in the treatment of grade II furcation involvement: a case report. Int J Res Rev 2019;6:30-33.
10. Alauddin MS, Hayei NAA, Sabarudin MA, Baharin NH. Barrier Membrane in Regenerative Therapy: A Narrative Review. Membranes 2022;12:444-460

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