A MODERN VIEW ON THE TREATMENT OF CLASS IV RECESSION ACCORDING TO MILLER; СОВРЕМЕННЫЙ ВЗГЛЯД НА ЛЕЧЕНИЕ РЕЦЕССИИ IV КЛАССА ПО МИЛЛЕРА

Introduction: Interproximal attachment has received much attention in modern periodontology because it is a key diagnostic and prognostic factor. Currently, we can find many articles with results of bare root coverage, but few data and studies that describe root closure and obtaining interproximal attachment at the same time. Objectives: The purpose of this study is to introduce a double-layer tunnel surgical technique for gingival papilla reconstruction and regeneration of the supraalveolar interproximal attachment. Materials and Methods: The technique is described step by step and demonstrated in a clinical case of multiple bilateral recessions, on the mandible with follow-up results up to 1 year. Results: Four proximal, midvestibular, and midlingual recession teeth were treated. The average root coverage in the proximal region reached 85%. Conclusion: This study demonstrates the feasibility of treating gingival recession with a papilla defect in the anterior region of the mandible, achieving significant clinical improvement with long-term stability. © 2024 Elsevier B.V., All rights reserved.