case_images: PMC5896420_01
case_images: Clinical conditions at baseline. It was noticeable the scar tissue in the region of the intervention and the persistence of a gingival recession of 2.1.
case_images: CRID2018-3735162.001.jpg
case_images: PMC5896420_01_CRID2018-3735162.001.jpg
case_images: fig1
case_images: In the region of 2.1, a small band of keratinized tissue (1 mm) was found apical to the gingival margin, and scars extending from the region of 1.1 to 2.2 were found (Figure 1).
case_images: Trapezoidal flap was prepared. The vertical incisions extended significantly beyond the mucogingival junction and were beveled.
case_images: CRID2018-3735162.002.jpg
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case_images: fig2
case_images: The vertical incisions were connected by one sulcular, which was performed in the gingival sulcus of the affected tooth (Figure 2).
case_images: After the dissection of the scar tissues that limited the mobility of the flap, it can be repositioned coronally without tensions.
case_images: CRID2018-3735162.003.jpg
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case_images: fig3
case_images: The exposed root surface was accurately debrided through sharp curette (Figure 3).
case_images: A connective tissue graft was placed in the site of the recession and stabilized by the use of resorbable sutures.
case_images: CRID2018-3735162.004.jpg
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case_images: fig4
case_images: The graft was then placed to cover the recession defect, at the level of the CEJ, and stabilized using resorbable sutures (Monocryl  5-0, Ethicon, Inc., Johnson & Johnson, Piscataway, NJ, USA) anchored to the periosteum (Figure 4).
case_images: Detail of the sutures placed for vertical incisions.
case_images: CRID2018-3735162.005.jpg
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case_images: fig5
case_images: Then, the flap was sutured with interrupted sutures on the vertical release incisions (Deknalon  6-0 Deknatel, Genzyme GmbH, Lubeck, Germany) and one sling suture (Deknalon 6-0 Deknatel, Genzyme GmbH, Lubeck, Germany) (Figures 5 and 6).
case_images: The flap was sutured in a more coronal position, and the connective tissue graft was partially covered.
case_images: CRID2018-3735162.006.jpg
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case_images: fig6
case_images: Then, the flap was sutured with interrupted sutures on the vertical release incisions (Deknalon  6-0 Deknatel, Genzyme GmbH, Lubeck, Germany) and one sling suture (Deknalon 6-0 Deknatel, Genzyme GmbH, Lubeck, Germany) (Figures 5 and 6).
case_images: Clinical conditions one year after surgical intervention. If compared to baseline, a significant reduction of gingival recession could be observed.
case_images: CRID2018-3735162.007.jpg
case_images: PMC5896420_01_CRID2018-3735162.007.jpg
case_images: fig7
case_images: After one year, a significant reduction of the gingival recession was observed with an almost complete root coverage (Figure 7).
case_images: Clinical conditions 15 years after the surgical intervention.
case_images: CRID2018-3735162.008.jpg
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case_images: fig8
case_images: This clinical condition remained stable also after 15 years (Figure 8).