PMC7471788_01
Photo of the patient taken at the moment of GR diagnosis. GR on tooth 1.3 and 1.4 was recognized by the displacement of the gingival margin from its physiological position.
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A 40-year-old female patient, nonsmoker with good oral hygiene, turned to the private practice complaining of an aesthetic discomfort in the smile connected to GR on the elements 1.3 and 1.4 (Figure 1).
Folded HAM placed at contact with the periosteum in the surgical site.
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The HAM graft was placed above the recession sites and stitched with a resorbable compressive suture (Figures 2-3) in order to allow adequate vascular flow for the integration and survival of the grafted tissue.
HAM stitched above the gingival recession site.
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fig3
The HAM graft was placed above the recession sites and stitched with a resorbable compressive suture (Figures 2-3) in order to allow adequate vascular flow for the integration and survival of the grafted tissue. The stitches were made with Vicryl 5.0 resorbable suture and with PTFE 6.0 nonresorbable suture (Figure 3).
Photo taken 15 days postintervention after stitches removal.
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fig4
The stitches were removed 15 days postintervention (Figure 4). The follow-up visits were performed every month for up to 7 months, a complete restoration of the gingival tissues and total absence of recession were registered (Figure 5). The bacterial plaque and the toothbrushing manoeuvres were monitored.
The healed site presents itself without gingival recessions and with restored shape and colour of the gingiva.
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fig5
The stitches were removed 15 days postintervention (Figure 4). The follow-up visits were performed every month for up to 7 months, a complete restoration of the gingival tissues and total absence of recession were registered (Figure 5). The bacterial plaque and the toothbrushing manoeuvres were monitored. At every visit, an increase in the thickness of the keratinized tissue (till 2 mm) was noticed as well as the maintenance of the natural colour of the gingiva without any form of inflammation (Figure 5).