Periodontal Surgical Intervention to Resolve Iatrogenic Mucogingival Problem : Using the Inversely Placed Periosteal Pedicle Graft – a One Year Follow Up—a Case Report

AIM: This case report presents one such case which has been successfully treated using inversely placed periosteal pedicle graft. BACKGROUND: Various periodontal surgical procedures have evolved over time for obtaining complete root coverage of isolated single tooth miller’s class I and class II gingival recession defects. CASE DESCRIPTION: inversely placed Periosteal pedicle graft is a latest innovation in root coverage procedures where periosteum is used for recession coverage. This pedicled graft utilises the osteogenic potential of the periosteum which is due to its highly vascular nature, presence of fibroblasts, osteoblasts and stem cells. In this case single isolated Millers Class II recession defects was treated in a single surgery using this latest technique. CONCLUSION: The results obtained 1 year post operatively there was significant reduction in height and width of recession (Root coverage Achieved was 100%), increase in width of attached gingiva, Clinical Attachment Level' were quite encouraging to use it on a regular basis for root coverage. CLINICAL SIGNIFICANCE: A newer less invasive modality to treat both sensitivity and unesthetic appearance due to gingival recession. obtaining predictable and esthetic root coverage has become an important part of periodontal therapy. Several techniques have been developed to obtain these results with variable outcomes.