Coronally advanced flap (CAF) for treatment of non-carious cervical lesion associated single gingival recession

The gingival recession is a mucogingival problem, characterized by gingival and junctional epithelium margin position shift into the apical and away from the cementoenamel junction, causing an opening toward the surface of the root. The etiologies include an anatomical factor, as well as a physiological and pathological factor. Coronally advanced flap (CAF) modification by using flap envelope without vertical incision shows 88% improvement when used to treat class I and II miller recession. CAF can also be used to treat gingival recession with type I non-carious cervical lesion. A 25-year-old female patient with no history of smoking was diagnosed with class I Miller gingival recession (3mm) and a type I non-cervical carious lesion (NCCL) on tooth #24. A coronally advanced flap (CAF) without a vertical incision, accompanied by mechanical and chemical biomodification towards root surface was conducted. Gingival recession treatment was intended to restore gingival condition to normal. One of the therapeutic options for type 1 NCCL is a coronally advanced flap (CAF) with mechanical and chemical biomodification towards the root surface. Some factors that need to be considered in the treatment of recession with CAF are immobilization, stability, and vascularity of the tissues. The CAF method without vertical incision can be utilized for the treatment of gingival recession with type 1 non-caries cervical lesion.