Trivector Traction Suturing Technique in Minimally Invasive Root Coverage Procedures: A Report of Two Cases
Abstract
Predictable root coverage in gingival recession requires stable flap positioning and controlled coronal advancement. Conventional suturing techniques, while effective, exhibit certain shortcomings. This case report presents the trivector traction suturing technique to enhance flap stabilization and coronal advancement. Two systemically healthy females with multiple RT1, RT2, and RT3 recession defects underwent minimally invasive tunneling with xenogenic volume–stable collagen matrix. A three-point anchorage system combining interdental modified vertical mattress and buccal horizontal mattress sutures embedded in composite stops was used. Sutures were retained for 21 days. In case 1, complete root coverage (CRC) was achieved by 3 months. In case 2, CRC was observed at 6 months. Outcomes remained stable at 12 months, with increased gingival thickness and resolution of hypersensitivity. Within the limitations of this two-case report, the technique demonstrated sustained coronal stability and favorable 12-month outcomes. Controlled trials are required to validate reproducibility and effectiveness.
Related
- Reconstruction with a novel pedicled mucoperiosteal hinge flap and dura suturing: a new minimally invasive concept and closure technique for endoscopic endonasal surgery
- Underlap suturing: a safe closure technique for full-thickness defects using endoscopic hand suturing.
- Modified Suture-Gripping Technique for Arthroscopic Meniscal Suturing.
- The Anatomic-Atraumatic-Anterior Reconstructive Technique (A-A-ART) for total hip arthroplasty: A step-by-step pictorial guide to a minimally invasive approach for hip osteoarthritis.
- Modified fourth-generation minimally invasive technique with a modified K-wire fixation technique for hallux valgus: a biomechanical and clinical study.
BibTeX
@article{goyal2026trivector,
title = {{Trivector Traction Suturing Technique in Minimally Invasive Root Coverage Procedures: A Report of Two Cases}},
author = {Rohan Goyal and Shikha Tewari},
journal = {Contemporary Clinical Dentistry},
year = {2026},
month = jul,
doi = {10.4103/ccd.ccd_136_26},
url = {https://doi.org/10.4103/ccd.ccd_136_26},
note = {CC BY-NC-SA},
}
RIS
TY - JOUR
TI - Trivector Traction Suturing Technique in Minimally Invasive Root Coverage Procedures: A Report of Two Cases
AU - Rohan Goyal
AU - Shikha Tewari
PY - 2026
DA - 2026/07/01
JO - Contemporary Clinical Dentistry
DO - 10.4103/ccd.ccd_136_26
UR - https://doi.org/10.4103/ccd.ccd_136_26
AB - Predictable root coverage in gingival recession requires stable flap positioning and controlled coronal advancement. Conventional suturing techniques, while effective, exhibit certain shortcomings. This case report presents the trivector traction suturing technique to enhance flap stabilization and coronal advancement. Two systemically healthy females with multiple RT1, RT2, and RT3 recession defects underwent minimally invasive tunneling with xenogenic volume–stable collagen matrix. A three-point anchorage system combining interdental modified vertical mattress and buccal horizontal mattress sutures embedded in composite stops was used. Sutures were retained for 21 days. In case 1, complete root coverage (CRC) was achieved by 3 months. In case 2, CRC was observed at 6 months. Outcomes remained stable at 12 months, with increased gingival thickness and resolution of hypersensitivity. Within the limitations of this two-case report, the technique demonstrated sustained coronal stability and favorable 12-month outcomes. Controlled trials are required to validate reproducibility and effectiveness.
SN - 0976-237X
SN - 0976-2361
ER -