PMC4319352_01
Left central incisor showing class II gingival recession
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F1
Based upon the periodontal parameters, the case was diagnosed as localized chronic periodontitis in relation to 21 [Figure 1].
Harvesting the free gingival graft
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F2
The graft was placed at the recipient bed and secured with 4-0 vicryl sutures [Figures 2 and 3].
Placement of free gingival grafting with suture
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F3
The graft was placed at the recipient bed and secured with 4-0 vicryl sutures [Figures 2 and 3].
Healing of graft after 3 months
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F4
On 3 months follow-up, a CTG was planned [Figure 4].
Harvesting of connective tissue graft
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F5
CTG was harvested from the first quadrant of palatal region and placed the recipient bed stabilized with 4-0 vicryl placed. Coranally advance the pedicle graft over CTG, sutures are placed followed by periodontal dressing [Figures 5-7].
Placement of graft on recipient site
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F6
CTG was harvested from the first quadrant of palatal region and placed the recipient bed stabilized with 4-0 vicryl placed. Coranally advance the pedicle graft over CTG, sutures are placed followed by periodontal dressing [Figures 5-7].
Placement of CTG with suture
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F7
CTG was harvested from the first quadrant of palatal region and placed the recipient bed stabilized with 4-0 vicryl placed. Coranally advance the pedicle graft over CTG, sutures are placed followed by periodontal dressing [Figures 5-7].
Healing after 6 months showing complete coverage
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F8
The results indicated that the FGG allows for a gain in the keratinized tissue level, and the CTG allows for root coverage with decreased recession level after 6 months. "The code of competence is the only system of morality that's on a gold standard." Thereby this case enlightens on the enhancement of esthetics by the gold standard procedures FGG and CTG [Figure 8].