Case Report


Continuous tag and sling suture: A stable, minimally invasive technique for coronally advanced flap—A case report

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1 Universidad Internacional del Ecuador, Quito, Ecuador

2 Núcleo de Odontologia – Pós-Graduação – Faculdade Arnaldo, Belo Horizonte, MG, Brazil

3 Universidad de Especialidades Espíritu Santo (UEES), Samborondón, Ecuador

Address correspondence to:

Mauricio Tinajero Aroni

Universidad Internacional del Ecuador, Jorge Fernández S/N, Quito 170411,

Equador

Message to Corresponding Author


Article ID: 100052Z07MA2026

doi: 10.5348/100052Z07MA2026CR

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How to cite this article

Aroni MT, Najar MG, Weisson RL, Cury VF. Continuous tag and sling suture: A stable, minimally invasive technique for coronally advanced flap—A case report. J Case Rep Images Dent 2026;12(2):1–5.

ABSTRACT


Introduction: Root coverage remains a major challenge in clinical practice. The success of mucogingival surgery depends on several factors, including the choice of root coverage material and suturing technique.

Case Report: A 30-year-old male patient presented with multiple gingival recessions in the upper left quadrant. Following treatment root planing, the selected technique was a multiple coronally advanced flap combined with a connective tissue graft. During wound closure, a modification of the traditional sling and tag suturing technique was used to improve healing and clinical outcomes. Complete root coverage was achieved for all treated teeth.

Conclusion: The modified sling and tag suturing technique may be considered a less invasive and effective alternative to the original technique.

Keywords: Coronally advanced flap, Gingival recession, Tag-and-sling suturing

SUPPORTING INFORMATION


Author Contributions:

Mauricio Tinajero Aroni - Substantial contributions to conception and design, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Maria das Graças Najar - Acquisition of data, Analysis of data, Drafting the article, Final approval of the version to be published

Roberto Ledergerber Weisson - Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published

Vanessa Frazao Cury - Acquisition of data, Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published

Guaranter of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2026 Mauricio Tinajero Aroni et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.