Treatment of multiple adjacent gingival recession defects with Zucchelli technique – Report of a successful case with 9 month follow-up

Patients seeking treatment for gingival recession has constantly been on a raise, where patients’ esthetic demands and biologic needs determine the treatment of choice for root coverage. Accordingly, the coronally advanced flap has been modified by Zucchelli and Sanctis to treat multiple gingival recession defects in esthetically critical areas. This technique does not use vertical incisions, which results in better healing, increases the quality of keratinized gingiva, provides good root coverage and doesn’t involve a second surgical site. This article reports a case of multiple contiguous gingival recessions treated using Zucchelli technique, with a simplified yet detailed description of the technique utilizing a diagrammatic representation. Clinical parameters to assess gingival recession were evaluated from baseline till 9 months. Successful results were found in terms of good root coverage, aesthetic appearance and increased keratinized tissue quality that has persisted till 9 months follow-up. Zucchelli technique was effective in the treatment of multiple adjacent gingival recessions in patients with high esthetic demands.