Abstract
Gingival recession is defined as Displacement of soft tissue margin apical to the cemento-enamel junction. The esthetic demand together with reduction of root sensitivity and management of root caries or cervical abrasion are the main indication for root coverage. The root coverage procedure is quite predictable and also produces patient satisfaction. This paper reports a case of 45yr old female with a root coverage procedure has been discussed below.
Highlights
Significant factor associated with the success of dental therapy is physiologic well being of the patient
Autogenous gingival grafting/ epithelized free gingival grafting is a well established pure mucogingival procedure for increasing the width of attached gingiva.The procedure has proven reliable in increasing attached gingiva and stopping the progressive recession[2]
The horizontal incision was made at the level of cemento-enamel junction extending from the line angle of adjacent teeth on either side of the recession deep into the papilla, creating a well defined butt joint margin
Summary
Significant factor associated with the success of dental therapy is physiologic well being of the patient. Gingival recession according to the glossary of Periodontic terms is defined as Displacement of the soft tissue margin apical to the cemento-enamel junction. Major causes for this condition includes plaque induced periodontal disease, mechanical force such as faulty tooth brushing, iatrogenic factors like orthodontic movements, faulty restorations and anatomic factors such as malposition, frenum pull, etc[1]. Pre-surgical therapy included scaling, root planing and plaque control instruction after 3 weeks of reevaluation the lower incisor showed apicocoronary 3mm of recession, mesio-distally 2mm of recession. After the patient’s consent, the site was treated by Miller’s technique for free autogenous gingival grafting to achieve root coverage and increase the attached gingiva
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