The importance of periodontal plastic surgery as a pre-orthodontic procedure

The development of new orthodontic appliances has encouraged a growing number of adults to benefit from treatment. The goal of preventive mucogingival surgery is to increase soft tissue coverage before the start of the orthodontic treatment. The aim of this case report is to present the clinical outcomes of periodontal plastic microsurgery technique as a pre-orthodontic procedure in a 28 years-old female patient with gingival recessions in quadrant II and thin gingival biotype.
After a session of prophylaxis and the cervical lesion’s treatment, a bilaminar technique with coronally advanced envelope flap was performed. The connective tissue grafts were sutured over the denuded root surfaces with resorbable sutures. The sutures were removed after two weeks postop and the healing was uneventful. The results have been maintained during the orthodontic treatment and no dentin hypersensitivity was reported after the periodontal plastic surgery.
In conclusion, this procedure represents a predictive treatment of recessions and can minimize further recessions and exposure of the roots during the orthodontic forces.