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preoperative status
preoperative status
23 years old patient with history of orthodontic treatment. On distal side of recession there is a mild inflammation.
recession length
recession length
1 mm probing depth and about 4 mm recession length.
recession width
recession width
the recession is 2 mm wide.
tunneling procedure
tunneling procedure
Insertion of the tunnelling instrument laterally and apically.
graft deepithelialization
graft deepithelialization
The CTG is de-epithelialized with new blade before placement.
donor site management
donor site management
Placement of haemostatic agent over the donor site
Ctg placement
Ctg placement
The graft is placed under the tunnelling pouch and fixed with two interrupted sutures on adjacent teeth.
wound margins approximation
wound margins approximation
A figure 8 suture was made over the exposed graft for further nutritional supply.
2 weeks postoperative
2 weeks postoperative
we can notice some sloughing around the free gingival margins. The root is completely covered.
3 months later
3 months later
we can notice healthy and pink gingiva on the previous recession area.
2 years later
2 years later
A bit lateral view shows thick gingival tissue.
2 years later
2 years later
Healthy gingiva.
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