Modified Coronally advanced flap (Zucchellli technique): A case series

Background: Desire for improved aesthetics and the consequent need for cosmetic dentistry have increased tremendously in recent times making aesthetic procedures an integral part of periodontal treatment. The treatment of choice for recession coverage should address the biological as well as the patient’s aesthetic demands. Zucchelli and Sanctis (2000) proposed a modification in the coronally advanced flap technique for treatment of multiple recession defects in aesthetic areas. Case series in which zucchelli’s technique was done to obtained desirable results of root coverage. Method: Miller’s class I multiple recession defects in upper maxillary anterior region were included for treatment. After initial therapy subjects were treated with zucchelli’s technique and recession depth were evaluated after 6 months. Results: the result revealed significant decrease in recession depth and aesthetically pleasant appearance after 6 months. No scar formation was seen. Conclusion: Zucchelli’s technique is effective for the treatment of multiple adjacent recessions in terms of both root coverage and keratinized tissue gain, irrespective of the number of defects. Moreover, this technique does not require an additional surgical site.