Comparative Analysis of Semilunar Repositioned Flap V/S Bernotti V-Y Flap Incision in Treatment of Miller’s Class I and Class II Gingival Recession

Abstract

Introduction: Multiple treatment modalities has been reported in the literature for the management of Miller’s Class I & II single/multiple gingival recession in order to rehabilitate the normal gingival contour, architecture and function. Due to some limitations of the conventional techniques, it is important to bring an alteration towards more conservative approach of treating the gingival recession and to get the best possible and predictable outcome.

Aim:  The aim of this study is to compare Semilunar Repositioned Flap Incision and Bernotti V-Y Flap Incision in the treatment of Miller’s class I and class II gingival recession.

Material and methods:  A total of twenty eight (28) patients, age 19-30 years with 28 sites of Miller’s class I and Class II Gingival Recession (GR) on the facial aspect in   both the anterior arches were selected. Group I was treated by semilunar repositioned flap incision while group II by Bernotti V-Y flap incision. Clinical parameters recorded were Recession height, Recession width, Probing depth, Relative Clinical Attachment Level, Plaque index, bleeding on Probing, Width of Keratinized Tissue, and Root coverage aesthetic score at baseline, 1, 3 &6 months postoperatively using paired and unpaired t test.
Results: Complete root coverage and gain of clinical attachment level are achieved in both approaches.
Conclusion: This Clinical study demonstrates similar results in both approaches.