Pedicle flap with basal allograft revascularization: an alternative way to treat Miller's class I and II gingival recessions with AlloDerm®

The treatment of gingival recession has long been a fundamental aspect of periodontics. As patient expectations for aesthetic outcomes continue to rise, the demand for root coverage procedures is increasing. Many patients present with multiple areas requiring treatment, yet limitations in palatal anatomy often restrict the amount of autogenous tissue that can be harvested, thereby constraining the number of procedures that can be performed. Furthermore, some patients may be unwilling to undergo additional tissue harvesting from the palate due to concerns about post-operative pain and morbidity associated with multiple grafting procedures. To address these challenges, acellular dermal matrix (ADM) allografts have emerged as an effective alternative to palatal tissue harvesting. Recent advancements in surgical techniques have enabled clinicians to achieve successful root coverage without relying on palatal donor tissue. This article introduces a novel approach to ADM-based treatment of Miller Class I and II gingival recessions, leveraging the concept of “pedicle flap with basal allograft revascularization” (PFBAR). This technique aims to optimize vascularization, enhance graft integration, and improve long-term clinical outcomes, making it a promising solution for patients seeking minimally invasive and highly aesthetic periodontal treatment.