Biologically Enhanced Root Coverage in Gingival Recession Defects Using Modified Zucchelli’s Flap and Platelet-Rich Fibrin: A Case Report

Authors

  • Dr.M.Selvakumar post graduate student
  • Dr. S. Rajasekar Professor
  • Dr. V. Krishnan Professor and Head of the Department

DOI:

https://doi.org/10.53274/IJCRD.2025.6201

Keywords:

  • Gingival recession, modified Zucchelli technique, platelet-rich fibrin, root coverage, coronally advanced flap

Abstract

Abstract

Gingival recession is a common mucogingival defect that can lead to root hypersensitivity, esthetic concerns, and plaque retention. The coronally advanced flap (CAF) technique, particularly the modified Zucchelli approach, has demonstrated reliable root coverage outcomes. This case report highlights the successful management of a Miller Class I gingival recession defect in the maxillary lateral incisor and canine (teeth 22 & 23) using a biologically enhanced technique involving a modified Zucchelli’s flap in conjunction with Platelet-Rich Fibrin (PRF). Clinical evaluation after one month demonstrated complete root coverage, increased gingival thickness, and satisfactory esthetics without any complications.

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Author Biographies

  • Dr.M.Selvakumar, post graduate student
    1. Postgraduate
      Department of Periodontics
      Government Dental College and Hospital, Cuddalore District, Tamil Nadu, India
      Mobile: +91-9080778966
      Email: drselvakumar96@gmail.com
  • Dr. S. Rajasekar , Professor

    Professor
    Department of Periodontics
    Government Dental College and Hospital, Cuddalore District

  • Dr. V. Krishnan, Professor and Head of the Department

    Professor and Head of the Department
    Department of Periodontics
    Government Dental College and Hospital, Cuddalore District

References

References

1. American Academy of Periodontology. Glossary of Periodontal Terms. 4th ed. 1996.

2. Zucchelli G, De Sanctis M. A new surgical technique for interproximal gingival recession: the papilla reconstruction flap. Int J Periodontics Restorative Dent. 2000;20(5):452–459.

3. Dohan Ehrenfest DM, Rasmusson L, Albrektsson T. Classification of platelet concentrates: from pure platelet-rich plasma (P-PRP) to leukocyte- and platelet-rich fibrin (L-PRF). Trends Biotechnol. 2009;27(3):158–167.

4. Dohan Ehrenfest DM, Del Corso M, Diss A, Mouhyi J, Charrier JB. Three-dimensional architecture and cell composition of a Choukroun’s PRF clot and membrane. J Periodontol. 2010;81(4):546–555.

5. Choukroun J, Adda F, Schoeffler C, Vervelle A. An opportunity in perio-implantology: the PRF. Implantodontie. 2001; 42:55–62.

6. Aroca S, Keglevich T, Gera I, et al. Clinical evaluation of a modified coronally advanced flap with PRF membrane in root coverage. J Clin Periodontol. 2009;36(10):850–857.

7. Sharma A, Pradeep AR. Clinical effectiveness of PRF vs CTG in gingival recession. J Periodontol. 2011;82(3):462–470.

8. Sridharan S, Vishwanath K, Sowmya S, et al. Effect of PRF on soft tissue healing and thickness. Indian J Dent Res. 2020;31(3):439–445.

9. Jankovic S, Aleksic Z, Klokkevold P, et al. Use of PRF in gingival recession therapy. J Clin Periodontol. 2012;39(8):746–753.

10. Trombelli L, Farina R, Marzadori M, et al. Clinical outcomes of CAF with/without biomaterials. J Clin Periodontol. 2018;45(Suppl 20): S197–S206.

11. Cairo F, Nieri M, Cincinelli S, Mervelt J, Pagliaro U. Root coverage esthetic score (RES): a clinical validation. J Clin Periodontol. 2009;36(4):288–294.

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Published

2026-01-10

Issue

Section

Case Report

DOI:

https://doi.org/10.53274/IJCRD.2025.6201

Dimensions

How to Cite

[1]
“Biologically Enhanced Root Coverage in Gingival Recession Defects Using Modified Zucchelli’s Flap and Platelet-Rich Fibrin: A Case Report”, Ind J Clin Res Dent, vol. 6, no. 2, pp. 1–4, Jan. 2026, doi: 10.53274/IJCRD.2025.6201.

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