Management of single tooth gingival recession using free gingival grafting followed by coronally advanced flap with cross-linked collagen matrix: A case report

Abstract

Gingival recession is the exposure of root surfaces due to apical migration of the gingival margins beyond the cementoenamel junction and is considered as one of the most common esthetic concerns associated with periodontal tissues. Insufficient gingival thickness and lack of adequate width of attached gingiva are considered to be the most common reason for progressive gingival recession. This case report presented the management of gingival recession in the lower anterior tooth using two-stage recession coverage technique. In the first stage, free gingival grafting was performed which was followed by coronally advanced flap in combination with cross-linked collagen matrix (Fibro-Gide, Geistlich Biomaterials, Switzerland) for recession coverage and enhancement of gingival thickness. Three-month follow-up of the case reported significant enhancement in clinical parameters with improvement in patient’s esthetic demand.