Gingival Recession of Lower Incisor
Periodontal Case Study
A young female patient presented with concerns of gingival recession of her lower incisor (31). She noticed some discomfort when brushing in the region and also reported sensitivity to cold stimuli. Clinical examination revealed a type II Miller’s classification of recession defect, no attached gingiva and a high frenal attachment. The gingival soft tissues were of a thin biotype.
It was decided to augment the labial tissues with a free gingival graft. A split thickness buccal flap was elevated to expose the periosteum. The 31 root planed to a glassy surface and treated with EDTA. A free gingival graft was harvested from the hard palate and sutured to the periosteum. A review after 8 weeks revealed a thick band of attached gingiva with almost complete root coverage.