case_images: PMC6955123_01
case_images: PMC6955123_02
case_images: The clinical exam confirmed the face rounded and the indication for Bichectomy technique.
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case_images: fig1
case_images: The clinical exam confirmed the face rounded (Figure 1) and cheek biting and revealed a Miller Class I gingival recession on the maxillary left canine (Figure 2).
case_images: Miller Class I gingival recession on the maxillary left canine (recipient site).
case_images: CRID2019-1049453.002.jpg
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case_images: fig2
case_images: The clinical exam confirmed the face rounded (Figure 1) and cheek biting and revealed a Miller Class I gingival recession on the maxillary left canine (Figure 2).
case_images: The incision location in donor site: vestibule fundus, at the distal caries of the second molar with a 30 mm distance from the vestibule and above the parotid duct.
case_images: CRID2019-1049453.003.jpg
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case_images: fig3
case_images: The incision location is at the vestibule fundus, at the distal caries of the second molar with a 30 mm distance from the vestibule and above the Parotid duct (Figure 3).
case_images: Extension of the incision: from the distal caries of the second molar to the mesial caries of the first molar.
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case_images: fig4
case_images: Then, the incision is extended about 1.5 cm until it reaches the mesial caries of the first molar (Figure 4).
case_images: Removal of the buccal extension of the Bichat ball.
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case_images: fig5
case_images: The buccal extension of the Bichat ball is completely removed by careful circular movements (Figure 5). 4 ml of buccal fat pad was removed.
case_images: Simple suture in donor site with 4.0 silk thread.
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case_images: fig6
case_images: The donor site was immediately sutured with a 4.0 silk thread (braided black silk, Technofio, Goiania, GO, Brazil) with a simple suture (Figure 6).
case_images: Preparation of the recipient site: with an intrasulcular incision and two diverging vertical incisions up to the alveolar mucosa.
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case_images: fig7
case_images: The preparation of the recipient site (gingival recession on the maxillary left canine) was performed with an intrasulcular incision and two divergent vertical incisions toward the vestibule bottom (Figure 7).
case_images: Scaled and planned with 5-6 Gracey curettes in canine root prior to receiving graft of adipose tissue.
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case_images: fig8
case_images: The canine root was then scaled and planned with 5-6 Gracey curettes (Figure 8) (Hu-Friedy, Chicago, IL, USA) and irrigated with sterile saline solution.
case_images: Macerated portion of the buccal fat pad cover of the recipient site.
case_images: CRID2019-1049453.009.jpg
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case_images: fig9
case_images: A portion of the buccal fat pad was cut into a size that was sufficient to cover the recipient site, its surface was macerated with a scalpel blade, and the graft was positioned (Figure 9).
case_images: Flap coronally positioned and anchored with simple and suspension sutures.
case_images: CRID2019-1049453.010.jpg
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case_images: fig10
case_images: The graft was stabilized with an X suture using a 5.0 resorbable suture thread (polyglycolic acid suture, Technofio, Goiania, GO, Brazil), and the flap was then coronally positioned and anchored with simple and suspension sutures (Figure 10).
case_images: PMC6955123_03
case_images: Removal of sutures 15 days postoperatively.
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case_images: fig11
case_images: The suture was removed 15 days postsurgery (Figure 11), and follow-up visits were scheduled at 30 (Figure 12), 60 (Figure 13), and 365 (Figure 14) days.
case_images: 30-day postoperative follow-up.
case_images: CRID2019-1049453.012.jpg
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case_images: fig12
case_images: The suture was removed 15 days postsurgery (Figure 11), and follow-up visits were scheduled at 30 (Figure 12), 60 (Figure 13), and 365 (Figure 14) days.
case_images: 60-day postoperative follow-up.
case_images: CRID2019-1049453.013.jpg
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case_images: fig13
case_images: The suture was removed 15 days postsurgery (Figure 11), and follow-up visits were scheduled at 30 (Figure 12), 60 (Figure 13), and 365 (Figure 14) days.
case_images: 1-year postoperative follow-up.
case_images: CRID2019-1049453.014.jpg
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case_images: fig14
case_images: The suture was removed 15 days postsurgery (Figure 11), and follow-up visits were scheduled at 30 (Figure 12), 60 (Figure 13), and 365 (Figure 14) days.
case_images: PMC6955123_04