# Double Pedicle Approach for the Management of Gingival Recession in Severely Crowded Teeth: A Case Report

## TL;DR

This case report describes a successful treatment for receding gums using a double pedicle flap to improve aesthetics and oral health.

## Contribution

The paper presents a successful application of the double pedicle flap for root coverage in severely crowded teeth.

## Key findings

- The double pedicle flap increased keratinized tissue and improved oral hygiene.
- The treatment effectively reduced dentinal hypersensitivity and provided acceptable root coverage.

## Abstract

Contemporary patients increasingly prioritize aesthetic considerations in their dental care. Consequently, esthetic considerations have become an essential component of periodontal treatment planning and delivery. Several techniques have been proposed for the coverage of gingival recession; however, a comprehensive understanding of the various conditions of denuded root surfaces is essential for achieving predictable outcomes in root coverage. When aesthetic demand is high, where the papillae are large and have shallow gingival grooves, a double pedicle flap can serve as a potential treatment alternative. This case report describes the effective management of a female patient presenting with dentinal hypersensitivity and receding gums, which impaired her ability to maintain proper oral hygiene and consume hot or cold foods. A double pedicle flap approach was used to treat the denuded root surface, leading to an increase in keratinized tissue, alleviation of dentinal hypersensitivity, and acceptable root coverage.