Arch Reconstr Microsurg.  2013 Nov;22(2):69-73.

Microsurgical Approach for Root Coverage of Receding Gingiva in the Esthetic Zone

• Mohan R
• Jain R

Abstract

Facial esthetics and smiling are key components in nonverbal communication and have an important role in determination of the first impression of a person. The various components of the smile in dental esthetics include Gingival scaffold, lip framework, and Teeth. The periodontist creates a smile by performing various periodontal plastic microsurgery procedures for management of mucogingival problems. A 25-year-old patient reported to the Department of Periodontology at Teerthanker Mahaveer Dental College and Research Center, Moradabad, Northern India, with the chief complaint of long looking teeth in the upper jaw, making him conscious while smiling. Miller class I gingival recession with Maxillary left canine (23) was diagnosed. Periodontal plastic microsurgery employing double papilla grafting with connective tissue graft harvested from the palate in order to cover denuded root was performed using microsurgical instruments and microsuturing with 6-0 suturing material under magnification. Healing was uneventful, with achievement of 100% root coverage of denuded root after three months. The patient was highly impressed and satisfied with his enhanced smile.

Keyword

Esthetics; Gingival recession; Microsurgery; Double papilla graft; Connective tissue graft; Microsuturing

MeSH Terms

Adult
Connective Tissue
Esthetics
Esthetics, Dental
Gingiva*
Gingival Recession
Humans
India
Jaw
Lip
Microsurgery
Nonverbal Communication
Palate
Plastics
Smiling
Tooth
Transplants
Plastics