Published in July 1986
Surgical treatment of gingival recession
GUSTAVO PETTI
Physician and Surgeon specializing in Dentistry. Periodontist.
Piazza Repubblica 4, 09129 Cagliari, Italy.
tel ++39 070 498159, fax ++39 070 400164
web site www.gustavopetti.it

Lateral repositioning of the flap
15. Above: the flap is shifted mesially: the dashed line indicates the separation between the mucous flap (distal) and the mucoperiosteal flap (mesial).
14. Upper left: the laterally positioned flap. After eliminating any periodontal pockets that may be present or the epithelial sulcus, a mucous flap is sculpted at the distal region and a mucoperiosteal flap is sculpted at the mesial region.
16. The flap is positioned to cover the recession: distally (in red) we see the bed of the donor site covered by the periosteum (in red in the figure to the side). 17. Recession on the mesial root of 4.6.
18. "V"-shaped incision to eliminate the pocket corresponding to the recession.
19. A mucous flap is detached at the distal region and a mucoperiosteal flap is is detached at the mesial region.
20. The flap is sutured with single stitches. 21. With the part of the tissue remaining from the "design" of the flap a free gingival graft is taken.21. With the part of the tissue remaining from the "design" of the flap a free gingival graft is taken.
22. The graft is sutured onto the flap donor bed. 23. In the picture on the left we see an enlargement of the result of the operation: the recession is covered and the adhering gum has increased.