Abstract
BACKGROUND: The coronally advanced flap (CAF) is a regularly used treatment for gingival recession, which is defined by the apical movement of the marginal gingiva, resulting in root exposure and unsightly crown extension. Treatment approaches have evolved, moving toward less invasive procedures like microsurgery. MATERIALS AND METHODS: Twenty patients with bilateral Miller's class I and class II gingival recessions, aged between 18 and 40, were chosen at random from the Adhiparasakthi Dental College and Hospital's outpatient department in Melmaruvathur. A coin toss was used to split the patient population into test and control groups and groups. The test group received CAF with CGF under 3.5 × magnification using dental loupes, whereas the control group had CAF with CGF membrane using standard surgical techniques. Preoperative and three-month postoperative records were made of clinical measures, such as probing depth (PD), clinical attachment level (CAL), recession height (RH), recession width (RW), and width of keratinized tissue (WKT). RESULTS: Both groups' mean postoperative values showed a significant improvement. Significant decreases in RH (3.0 mm to 0.4 mm, P < 0.0001), RW (2.6 mm to 0.3 mm, P < 0.0001), and WKT (4.2 mm to 6.8 mm, P = 0.0002) were seen in the control group. Significant decreases in RH (2.9 mm to 0.2 mm, P < 0.0001), RW (2.9 mm to 0.2 mm, P < 0.0001), and an increase in WKT (4.1 mm to 6.8 mm, P < 0.0001) were also seen in the test group. After three months, the test group had a mean percentage of 93% while the control group had a mean percentage of 87% root coverage. CONCLUSION: Adequate root coverage was achieved using both traditional and microsurgical methods. Nonetheless, 3.5 × magnification of CAF with CGF membrane resulted in reduced postoperative discomfort, better healing, more surgical accuracy, and improved ergonomics.