International Journal of Science and Healthcare Research DOI: https://doi.org/10.52403/ijshr.20210402 Vol.6; Issue: 2; April-June 2021 Website: ijshr.com Case Report ISSN: 2455-7587 International Journal of Science and Healthcare Research (www.ijshr.com) 9 Vol.6; Issue: 2; April-June 2021 Lateral Pedicle Graft Procedure for the Treatment of Isolated Tooth Recession- A Case Report Neelam Rana 1 , Sachit Anand Arora 2 , Rupali Kalsi 3 , Kumar Saurav 4 Department of Periodontics, I.T.S Dental College, Hospital and Research Centre, Knowledge Park-III, Greater Noida, Uttar Pradesh, 20130, India Corresponding Author: Neelam Rana ABSTRACT Gingival recession is defined as the apical migration of the gingival margin from its physiologic level which further causes pathologic exposure of root surfaces. Mucogingival esthetic surgery includes the treatment of mucogingival esthetic alterations. The Mucogingival problems may be caused by gingival recession which is often associated with non-carious cervical lesion or by root caries or by altered passive eruption. Root coverage is achieved by many procedures like free gingival autografts, pedicle graft and connective tissue grafts. Recession can be treated by surgical or non-surgical means. Surgical procedure includes various methods of increasing the width of keratinized tissue such as frenectomy in case of high frenal attachment & root coverage procedures and nonsurgical approach include-restorations, crowns, veneers and gingival masks. Lateral displaced pedicle flap was first described by Grupe and Warren in 1956 which was indicated in area to cover isolated apical migration of gingiva, & denuded root surfaces that have adequate amount of donor tissue adjacent to the recipient site. In few clinical studies it is seen that the success rate with Lateral pedicle graft is 70%, it is preferred over free gingival autografts in narrow and shallow gingival defects. This case report present the predictability of root coverage by using Lateral pedicle grafts in single tooth narrow and shallow gingival recession. Key words: Lateral pedicle graft, Gingival recession, Attachment loss, Graft INTRODUCTION Mucogingival esthetic surgery includes the treatment of mucogingival esthetic alterations and restoration. The apical shift of the gingival epithelium leading to the exposure of the root surface is termed as Gingival Recession. There are various etiological factors of gingival recession and the treatment of it should eliminate the etiological factors followed by achieving the root coverage of the denuded surface. Recession may also lead to accumulation of plaque and calculus, loss of aesthetics, root caries, abrasion of the root surfaces and hypersensitivity. 1 There are many surgical treatment modalities used for the management of gingival recessions and each technique has their own advantages and limitations over others. 2 Following surgical procedures are indicated for treatment of gingival recessions, they include 3 a. Lateral pedicle graft b. Double papilla flap c. Oblique rotated flap d. Coronally repositioned flap e. Semilunar coronally repositioned flap. Grupe and Warren 5 was the first to describe the Lateral Sliding Flap in year 1956. For single isolated tooth root coverage where the amount of adequate soft tissue and underlying bone is present at the donor site makes the prognosis of lateral sliding flap good 4 . The advantages of pedicle grafts when compared to autografts is one surgical site with preservation of