Treatment of a single gingival recession with a subepithelial connective tissue graft with a double papilla flap: A case report

Abstract

Gingival recessions are widely prevalent deformities that affect the normal position of the gingiva and cause exposure of the tooth root, and are often associated with unsatisfactory aesthetics and dentin hypersensitivity. The double papilla technique for root covering is a periodontal plastic surgery technique recommended for the treatment of gingival recessions. In this case report, we show the clinical results after a 12-month follow-up of a root-covering procedure in an upper canine affected by a gingival recession. A 56-year-old patient presenting a Cairo type I gingival recession on the vestibular surface of tooth 23 was treated with a one-stage surgical procedure, carried out using the double papilla technique in combination with a partially epithelialized connective tissue graft, reaching 100% root coverage. After a 12-month follow-up, this technique showed highly successful results both in 100% coverage of the defect and in long-term stability and aesthetics.

Creeping attachment post-gingival recession treatment using a vestibular incision subperiosteal tunneling access technique combined with a connective tissue graft

“…However, CTG needs to be careful with the palate anatomy to minimize the risk of palatine artery trauma. 21 The treatment of a single recession with CTG is presented in a study by Bautista et al 22 They handled the wide and deep single recession with a one-stage surgical procedure with CTG and started showing the result three months postoperatively. 22 The VISTA technique combined with CTG can provide good results in treating localized mandibular incisor recession.…”

“…21 The treatment of a single recession with CTG is presented in a study by Bautista et al 22 They handled the wide and deep single recession with a one-stage surgical procedure with CTG and started showing the result three months postoperatively. 22 The VISTA technique combined with CTG can provide good results in treating localized mandibular incisor recession. Creeping attachment in the treatment of gingival recession is unpredictable, but this phenomenon can promote esthetics and improve gingival quality.…”