PMC7495163_01
Intrabuccal images before removal of the orthodontic appliance.
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The patient, S.N., who had a 5 mm gingival recession on the tooth 31 prior to the start of treatment, underwent orthodontic treatment for 1 year (Figure 1).
PMC7495163_02
Intrasulcular incision.
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The surgical procedure started with an intrasulcular incision (Figure 2), preserving the interdental papillae (Figure 3), followed by detachment of the periosteal mucosa through an incision with a No. 15c blade, so that the tissue was not under tension.
Intrasulcular incision preserving the interdental papillae.
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The surgical procedure started with an intrasulcular incision (Figure 2), preserving the interdental papillae (Figure 3), followed by detachment of the periosteal mucosa through an incision with a No. 15c blade, so that the tissue was not under tension.
Detachment of the periosteal mucosa with no tensioned tissue.
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During the detachment of the periosteal mucosa, the frenum was removed internally (Figure 4).
The tunnel patch created to receive the connective tissue graft.
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A tunnel patch was then created to receive the connective graft (Figure 5).
Surgical map with sterilized paper.
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Graft positioned on the receiving area.
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The graft was positioned on the receiving area, in order to verify the location of the suture (Figure 7).
Two horizontal mattress sutures.
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Sutures mesial and distal to the tooth.
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The suture Figure 8 with nonpolymerized resin.
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Removal of the coronal traction suture.
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(a, b) Ten days postoperatively.
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PMC7495163_03
(a, b) 45 days postoperatively.
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During the 45-day follow-up, we observed good cicatrization, root coverage, and an increase in gingival tissue volume in the vestibular region (Figures 13(a) and 13(b)).
(a, b) 60 days postoperatively.
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The patient was carried out after 60 days and was satisfied with the result found (Figures 14(a) and 14(b)), 6 months (Figures 15(a) and 15(b)), and one year (Figures 16(a) and 16(b)) after the surgery, during which we observed the formation of a keratinized gingiva and the complete root recover, besides the esthetic satisfaction reported by the patient.
(a, b) Six months postoperatively.
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The patient was carried out after 60 days and was satisfied with the result found (Figures 14(a) and 14(b)), 6 months (Figures 15(a) and 15(b)), and one year (Figures 16(a) and 16(b)) after the surgery, during which we observed the formation of a keratinized gingiva and the complete root recover, besides the esthetic satisfaction reported by the patient.