Subpedicle connective tissue graft – A bilaminar reconstructive surgical procedure for root coverage

Background: Root coverage is the goal of periodontal plastic surgery when treating gingival recession. This article describes the use of Subpedicle Connective Tissue Graft (SPCTG) as a bilaminar reconstructive procedure for root coverage. The success of this graft has been attributed to the double blood supply at the recipient site from the underlying bone base and the overlying recipient flap. Method: The operation SPCTG was performed on 15 sites with an isolated gingival recession accompanied by an absence of attached gingiva. The connective tissue graft was obtained from palate at premolar-molar area. All patients were evaluated at 7,15,30,60 and 90 days post-operatively. Results: From the analysis of results, statistically highly significant root coverage was obtained at 90 days with the mean gain of 84. 66%. The mean area of gingival recession was reduced from 8. 2 mm2 ± 2. 99 mm2 to 1. 83 mm2 ± 3. 11 mm2. (p<0. 001). Statistically significant increase in the width of attached gingiva was also obtained with the mean gain of 4. 6 mm. The mean width of attached gingiva was increased from o mm ±o mm to 4. 6 mm ±1. 25 mm (p<0. 01).