Journal of Scientific Dentistry

Register      Login

VOLUME 5 , ISSUE 1 ( January-December, 2015 ) > List of Articles


Clinical Evaluation of Increase in the width of Attached Gingiya Using Modified Apically Repositioned Flap - A Case Report

Ughabharathy R, Pratebha B, Jananni M, Saravana Kumar R

Keywords : modified apically repositioned flap, schiller's iodine solution, attached gingiva

Citation Information : R U, B P, M J, R SK. Clinical Evaluation of Increase in the width of Attached Gingiya Using Modified Apically Repositioned Flap - A Case Report. 2015; 5 (1):56-59.

DOI: 10.5005/jsd-5-1-56

License: CC BY-NC 4.0

Published Online: 13-08-2020

Copyright Statement:  Copyright © 2015; The Author(s).


An adequate amount of attached gingiva is required to protect the periodontium and promote periodontal health and also increase resistance and stabilization of gingival margin against frictional forces and external injury. Inadequate width of attached gingiva mucogingival surgeries like free tissue grafts, connective gingival grafts are used with other surgical procedure to increase the zones of attached gingiva and disadvantage of these technique are requirement of donor tissue. So the alternate technique was proposed by Carnio, which is simple, involving the use of a single horizontal incision in the recipient site without any donor tissue requirement.

PDF Share
  1. Ainamo J, Talari A. The increase with age of the width of attached gingiva. J Periodontal res. 1976; 11: 182 188.
  2. Ainamo A, Ainamo J. The width of attached gingiva on supra erupted teeth. J Periodontal res. 1978;13: 194 -198.
  3. Carnio J, Miller PD. Increase the amount of attached gingiva using a modified apically repositioned flap. J Periodontol. 1999;70: 1110-1117.
  4. Carnio J, Camargo PM. Increasing the apico-coronal dimension of attached gingival using the modified apically repositioned flap technique: A case series with a 6-month fellow. J Periodontol. 2007; 78(9):1825-30.
  5. Carranza F. The Clinical Periodontology, 10th ed. W.B. Saunders; 2003: 47.
  6. Friedman N. Mucogingival surgery: The apically repositioned flap. J Periodontol. 1962; 33: 328-340.
  7. Karring T, Cumming BR, Oliver RC, Loe H. The origin of granulation tissue and its inpacts on post operative results of mucogingival surgery. J Periodontol. 1975; 47(7):577-585.
  8. Lang N, Harald L. The relationship between the width of keratinized gingiva and gingival health. J periodontol. 1978; 43(10):623-627.
  9. Miyasto M, Crigger M, Egelberge J. Gingival condition in areas of minimal and appreciable width of keratinized gingiva. J clin periodontol. 1977;4:200-209.
  10. Carnio J, Camargo PM. The modified apically repositioned flap to increase the dimension of attached gingiva: The single incision technique for multiple adjacent teeth. Int J periodontics restorative dent. 2006; 26(3):265-9.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.