case_images: PMC7719491_01
case_images: Gingival recession associated to the left second upper molar showing a mucogingival defect.
case_images: CRID2020-8824246.001.jpg
case_images: PMC7719491_01_CRID2020-8824246.001.jpg
case_images: fig1
case_images: The clinical (Figure 1) and radiographic (Figure 2) evaluation revealed 5 mm Miller Class II recession on the second molar buccal aspect.
case_images: Patient's orthopantomography showing maxillary sinus pneumatization and absence of first left upper molar.
case_images: CRID2020-8824246.002.jpg
case_images: PMC7719491_01_CRID2020-8824246.002.jpg
case_images: fig2
case_images: The clinical (Figure 1) and radiographic (Figure 2) evaluation revealed 5 mm Miller Class II recession on the second molar buccal aspect.
case_images: Oroantral communication after flap dissection nearby the MV root of tooth no. 17.
case_images: CRID2020-8824246.003.jpg
case_images: PMC7719491_01_CRID2020-8824246.003.jpg
case_images: fig3
case_images: While preparing the flap, an oroantral communication was found apically to the first molar mesial buccal root with 3 mm diameter (Figure 3).
case_images: Suture of Schneider membrane with absorbable 6/0 polyglycolic acid suture.
case_images: CRID2020-8824246.004.jpg
case_images: PMC7719491_01_CRID2020-8824246.004.jpg
case_images: fig4
case_images: Oroantral communication closure started by suturing the Schneider membrane with a 6 0' absorbable suture (monofilament polyglecaprone suture, Surgiclryl-Monofast  SMI-Belgium) to close the perforation (Figure 4).
case_images: Connective tissue graft adaptation to the recipient bed.
case_images: CRID2020-8824246.005.jpg
case_images: PMC7719491_01_CRID2020-8824246.005.jpg
case_images: fig5
case_images: The connective tissue graft was sutured to the recipient bed with 6 0' absorbable suture (monofilament polyglecaprone suture Surgiclryl-Monofast  SMI-Belgium) (Figure 5), and the flap laterally and coronally moved and sutured with 5 0' nylon suture (monofilament SERALON, SERAG Wiessner) (Figure 6).
case_images: Flap laterally and coronally displaced sutured with 5 0' nylon suture.
case_images: CRID2020-8824246.006.jpg
case_images: PMC7719491_01_CRID2020-8824246.006.jpg
case_images: fig6
case_images: The connective tissue graft was sutured to the recipient bed with 6 0' absorbable suture (monofilament polyglecaprone suture Surgiclryl-Monofast  SMI-Belgium) (Figure 5), and the flap laterally and coronally moved and sutured with 5 0' nylon suture (monofilament SERALON, SERAG Wiessner) (Figure 6). A surgical stent was given to the patient to use during the following week (Figure 6).
case_images: Two weeks postop healing. Apically to the second premolar, there is an incomplete closure due to a noncompliant patient.
case_images: CRID2020-8824246.007.jpg
case_images: PMC7719491_01_CRID2020-8824246.007.jpg
case_images: fig7
case_images: Chlorhexidine 0.12%, antibiotic, and anti-inflammatory drugs were prescribed (Figures 7 and 8).
case_images: Four weeks postop healing with complete wound closure.
case_images: CRID2020-8824246.008.jpg
case_images: PMC7719491_01_CRID2020-8824246.008.jpg
case_images: fig8
case_images: Chlorhexidine 0.12%, antibiotic, and anti-inflammatory drugs were prescribed (Figures 7 and 8).
case_images: Two months of healing showing no signs of flap diescency.
case_images: CRID2020-8824246.009.jpg
case_images: PMC7719491_01_CRID2020-8824246.009.jpg
case_images: fig9
case_images: The surgery led to an almost complete root coverage, augmented width of keratinized mucosa, and probing depths < 2 mm with no bleeding on probing (Figures 9 and 10).
case_images: Eight months postop healing. Complete communication closure and complete root coverage with no signs of gingival inflammation:after.
case_images: CRID2020-8824246.010.jpg
case_images: PMC7719491_01_CRID2020-8824246.010.jpg
case_images: fig10
case_images: The surgery led to an almost complete root coverage, augmented width of keratinized mucosa, and probing depths < 2 mm with no bleeding on probing (Figures 9 and 10).