PMC6875521_01
Gingival recession in tooth 4.1.
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A 38-year-old female patient, non-smoker with good oral hygiene, was referred to the private dental practice of Dr Martelloni M. because of discomfort when smiling (one tooth of the lower arch teeth being longer than the others) and dental hypersensitivity resulting from gingival recession affecting tooth 4.1 (Figure 1), which also caused mild pain during brushing.
Intraoral dental X-rays showing reabsorption of interproximal bone peaks.
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Physical examination using a periodontal probe revealed the probing depth, and slight reabsorption of interproximal bone peaks was noted which was confirmed by intraoral radiography (Figure 2).
Removal of epithelial-connective tissue from the palate.
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A partial-thickness flap of epithelial-connective tissue measuring approximately 20mm was harvested from the palate (Figure 3) and grafted on to the receiving site with Vicryl 5-0 suture absorbable. 
Epithelial-connective tissue graft.
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Positioning the amniotic membrane at the donor site (A) and horizontal mattress sutures (B).
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Resolution of gingival recession 30 days after the procedure.
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Results at 30 days showed not only a positive outcome as regards the resolution of the treated recession (Figure 6), but also the absence of infection and complete reepithelialization of the palate treated with HAM (Figure 7A and B).
Reepithelialization of the palate 14 days after HAM grafting, before (A) and after (B) removal of stitches.
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Results at 30 days showed not only a positive outcome as regards the resolution of the treated recession (Figure 6), but also the absence of infection and complete reepithelialization of the palate treated with HAM (Figure 7A and B).
Appearance of the palate 30 days after the procedure.
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