Case Report Mathews Journal of Case Reports Think Pink: An Esthetc Root Coverage with Laterally Displaced Flap Shivani Sachdeva 1 , Mangesh Phadnaik 2 , Harish Saluja 1 , Parul Tandon 1 1 Assistant Professor at Pravara Rural Dental College and Hospital. 2 Professor and guide G.D.D Nagpur. Corresponding Author: Shivani Sachdeva, Department of Periodontcs Pravara Rural Dental College and Hospital, Tel: 09730548805; Email: dr.shivani19@gmail.com 1 Received Date: 26 Mar 2016 Accepted Date: 14 Apr 2016 Published Date: 22 Apr 2016 Copyright © 2016 Sachdeva S Citaton: Sachdeva S, Phadnaik M, Saluja H and Tandon P. (2016). Think Pink: An Esthetc Root Coverage with Laterally Displaced Flap. M J Case. 1(1): 004. Citaton: Sachdeva S, Phadnaik M, Saluja H and Tandon P. (2016). Think Pink: An Esthetc Root Coverage with Laterally Displaced Flap. M J Case. 1(1): 004. ABSTRACT BACKGROUND Complete root coverage is one of the primary objectves to be considered when treatng gingival recessions. Furthermore, aesthetc demands can be satsfed by sof tssue grafs, the thickness and color of which should not be distnguishable from those of adjacent sof tssue. CASE REPORT This artcle describes a case report in which a split pedicle graf technique has been used for root coverage in relaton to mandibular lef central incisor with Miller class II gingival recession. Complete root coverage was seen on 15 day and on 6 month. KEYWORDS Gingival Recession; Root Coverage; Pedicle Graf. INTRODUCTION Gingival recession is the displacement of marginal gingival ts- sue apical to the cemento-enamel juncton with exposure of root surface to the oral environment [1]. The gingival reces- sion is found most commonly on facial and buccal surface as a result of vigorous tooth brushing, whereas it may afect other tooth surfaces also because of poor oral hygiene [2]. It has been proposed that recession is mult-factorial, with one type being associated with anatomic factors such as bone dehis- cence, malpositoning of teeth, trauma associated with mal- occlusion. Another type of recession is associated with physi- ological (aging) or pathological factors (where it occurs as part of pathogenesis of periodontal disease or smoking) [2-4]. More than 50% of populaton has one or more sites of gingival recession ≥ 1 mm 3 . The process by which gingival recession occurs is stll unclear; however, it seems that gingival reces- sion probably occurs in the presence of infammaton. Tissue destructon in plaque-induced periodontal disease in diferent scenarios causes apical migraton of the epithelium and de- structon of the periodontal ligament along with bone resorp- ton. Therefore, gingival recession may be a consequence of this stage of disease, or it may be seen as a part of the healing process in response to periodontal treatment. Which results in reducton of probing depth and shrinkage of the tssue that leads to tghtening of the gingival cuf and formaton of long junctonal epitelium [2]. In studying the etology of gingival recession Gronman concluded that tooth malalignment and tooth brushing are most common factors associated with gin- gival recession [5]. Sangnes and Gjermo confrmed that dif- ferent types of traumatc injuries may result in a variety of gingival lesions [6]. The lateral pedicle graf was described by Grupe and Warren in 1956 [7]. The purpose was to gain atached gingiva and to cover areas of gingival recession, especially those on the facial surfaces of mandibular anterior teeth. The lateral positoned fap can be used to cover the isolated, denuded roots that have adequate donor tssue laterally and vestbular depth. Progno- sis for Miller class I and class II is good to excellent whereas, ISSN 2474-3666