PMC4976187_01
8 mm gingival recession at 41 region.
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fig1
Radiographic examination revealed interproximal bone loss diagnosing it to be a class III Millers recession (Figures 1 and 2).
Preoperative radiograph of 41 region with interdental bone loss.
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Radiographic examination revealed interproximal bone loss diagnosing it to be a class III Millers recession (Figures 1 and 2).
Palatal donor site.
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The FGG was harvested from palate (Figures 3 and 4).
FGG harvested.
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The FGG was harvested from palate (Figures 3 and 4).
Graft stabilized with sutures.
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The graft was adapted over the root and stabilized by horizontal and circumferential sutures using 4.0 vicryl sutures (Figure 5).
Postoperative view after 3 months.
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The second stage of the surgery was performed 3 months after the first procedure (Figure 6).
Vertical and interdental incisions made.
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Using number 15 BP blade, a crevicular incision was given around 41 along with two oblique incisions (including the adjacent papillae) extending up to mucogingival junction (Figure 7).
Partial thickness flap elevated.
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Partial thickness flap was elevated and the membrane (size 15 mm x 20 mm) was removed from its sterile pack and placed at the recipient site and adapted to the root surface (Figures 8 and 9).
Biomend GTR membrane placed.
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fig9
Partial thickness flap was elevated and the membrane (size 15 mm x 20 mm) was removed from its sterile pack and placed at the recipient site and adapted to the root surface (Figures 8 and 9).
Flap coronally advanced and sutures placed.
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fig10
Flap was coronally repositioned and sutured using 4-0 sling vicryl sutures (Figure 10).
Postoperative view after 6 months showing 7 mm root coverage.
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fig11
There was further increase in AG of 4 mm with total root coverage of 7 mm as observed 6 months after stage two surgical procedure (Figure 11).