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preoperative view
preoperative view
Although the teeth are not fully erupted yet, the two central incisors show recession. Still not extended beyond CEJ.
Labio-occlusal view
Labio-occlusal view
It shows how thin the gingiva is and the papilla not filled the interdental area.
direct occlusal view
direct occlusal view
It shows thin gingiva at central incisors area.
Free gingival graft
Free gingival graft
The graft was prepared partially de-epithelialized keeping free gingival graft at the central area.
the recession area preparation
the recession area preparation
The recession area was prepared by partially releasing flap just from apical area of the gingival margin and extending the tunnel laterally.
graft placement
graft placement
The de-epithelialized graft inserted into the tunneling pouch while the central non deepithelialized area placed over the recession area.
graft fixation
graft fixation
The graft was fixed with interrupted sutures.
donor area management
donor area management
The palatal wound was treated with small gauze pellet and nylon suture.
2 Years later
2 Years later
Good and healthy keratinized tissue still covered the recession area. The interdental papilla is completely reconstructed.
2 years later
2 years later
The gingival thickness has increased with good papillary shape filled interdental space.
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