case_images: PMC11700545_01
case_images: Initial situation, presented with isolated deep buccal recession 8 mm.
case_images: cureus-0017-00000076880-i01.jpg
case_images: PMC11700545_01_cureus-0017-00000076880-i01.jpg
case_images: FIG1
case_images: There was also a wide band of KT adjacent to the recession 4 mm and a deep vestibular depth (Figure 1).
case_images: Vertical incision.
case_images: cureus-0017-00000076880-i02.jpg
case_images: PMC11700545_01_cureus-0017-00000076880-i02.jpg
case_images: FIG2
case_images: After delivering local infiltration anesthesia (Articaine hydrochloride 4% with 1/100000 epinephrine), the surgical procedure was conducted as follows: a vertical incision using no. 15C blade starting at the distal line angle of tooth #24 and extending deep into the alveolar mucosa (Figure 2) and reflecting a partial thickness flap above the mucogingival line to allow sufficient flap release and improve blood supply (Figure 3).
case_images: The amount of the flap released.
case_images: cureus-0017-00000076880-i03.jpg
case_images: PMC11700545_01_cureus-0017-00000076880-i03.jpg
case_images: FIG3
case_images: After delivering local infiltration anesthesia (Articaine hydrochloride 4% with 1/100000 epinephrine), the surgical procedure was conducted as follows: a vertical incision using no. 15C blade starting at the distal line angle of tooth #24 and extending deep into the alveolar mucosa (Figure 2) and reflecting a partial thickness flap above the mucogingival line to allow sufficient flap release and improve blood supply (Figure 3).
case_images: The harvested free gingival graft, half of it epithilized and the other half will be de-epithlized.
case_images: cureus-0017-00000076880-i04.jpg
case_images: PMC11700545_01_cureus-0017-00000076880-i04.jpg
case_images: FIG4
case_images: The size of the graft (8 mm width x 24 mm length), half of the graft is left as epithelized free gingival graft, and the other half of the graft was de-epithelized extra-orally using no. 15 blade (Figure 4).
case_images: Soft tissue graft fixation with simple interrupted suture, horizontal suture, and sling suture.
case_images: cureus-0017-00000076880-i05.jpg
case_images: PMC11700545_01_cureus-0017-00000076880-i05.jpg
case_images: FIG5
case_images: Then, the released flap is positioned in a lateral and more coronal position to cover the CTG on tooth #26 with a sling suture using a 5-0 (Polyglactin 910 absorbable surgical suture) suture (Figure 5).
case_images: Two-week follow-up after removing the suture. The tissue is still edematous.
case_images: cureus-0017-00000076880-i06.jpg
case_images: PMC11700545_01_cureus-0017-00000076880-i06.jpg
case_images: FIG6
case_images: After 14 days, the sutures were removed (Figure 6).
case_images: Six-week follow-up. The keratinized tissue was significantly increased.
case_images: cureus-0017-00000076880-i07.jpg
case_images: PMC11700545_01_cureus-0017-00000076880-i07.jpg
case_images: FIG7
case_images: Although complete root coverage was not expected, about 25% of the denuded root was covered on tooth #26, and the gingival thickness was notably increased (Figure 7).