Periosteal fenestration: A single stage surgical procedure for root coverage along with vestibular deepening

One of the most common mucoginigival problems are gingival recession with decreased width of attached gingiva and shallow vestibule. Many techniques have been employed till date to increase the width of attached gingiva and for root coverage. But in all these techniques multiple surgeries had to be performed to achieve predictable results. In such procedures, firstly the width of attached gingiva is increased followed by a second surgery in which root coverage is carried out. In order to avoid patient discomfort, reduce the number of surgeries as well the number of surgical sites and to reconstruct the lost periodontal tissues, newer methods of root coverage need to be employed. Hence, in this paper we have described a single stage surgical technique for increasing the width of attached gingiva and root coverage with the use of periosteal pedicle flap.