case_images: PMC3932284_01
case_images: Preoperative photograph showing recession in relation to 32.
case_images: CRIM.DENTISTRY2014-509319.001.jpg
case_images: PMC3932284_01_CRIM.DENTISTRY2014-509319.001.jpg
case_images: fig1
case_images: Clinical photographs were taken preoperatively (Figure 1) and postoperatively (Figure 10).
case_images: Radiograph in relation to lower anterior region showing absence of interdental bone loss.
case_images: CRIM.DENTISTRY2014-509319.002.jpg
case_images: PMC3932284_01_CRIM.DENTISTRY2014-509319.002.jpg
case_images: fig2
case_images: Intraoral periapical radiograph (IOPA) of the area showed no bone loss in relation to number 32 (Figure 2).
case_images: Proposed flap design for double papillary in relation to tooth number 32.
case_images: CRIM.DENTISTRY2014-509319.003.jpg
case_images: PMC3932284_01_CRIM.DENTISTRY2014-509319.003.jpg
case_images: fig3
case_images: Figure 3. Following local anesthesia, an intracrevicular incision through the bottom of the crevice followed by mesial and distal vertical releasing incisions were made including both papillae adjacent to 32 (Figure 4).
case_images: Intracrevicular incision followed by mesial and distal vertical releasing incisions for double papilla flap in relation to tooth number 32.
case_images: CRIM.DENTISTRY2014-509319.004.jpg
case_images: PMC3932284_01_CRIM.DENTISTRY2014-509319.004.jpg
case_images: fig4
case_images: Figure 3. Following local anesthesia, an intracrevicular incision through the bottom of the crevice followed by mesial and distal vertical releasing incisions were made including both papillae adjacent to 32 (Figure 4).
case_images: Partial thickness flap reflection in relation to tooth number 32.
case_images: CRIM.DENTISTRY2014-509319.005.jpg
case_images: PMC3932284_01_CRIM.DENTISTRY2014-509319.005.jpg
case_images: fig5
case_images: A partial thickness flap was reflected by sharp dissection as close to the periosteum as possible, beyond the mucogingival junction, and was extended until the partial thickness flap could be passively positioned over the defect without tension (Figure 5).
case_images: Donor site in the palate used for harvesting the subepithelial connective tissue graft.
case_images: CRIM.DENTISTRY2014-509319.006.jpg
case_images: PMC3932284_01_CRIM.DENTISTRY2014-509319.006.jpg
case_images: fig6
case_images: Subepithelial connective tissue graft was obtained (Figure 7) in the region of number 24 and number 25 from the palate with two incisions (L-shape) (Figure 6), to prevent severe postoperative pain and discomfort and for early wound healing.
case_images: Harvested free connective tissue graft.
case_images: CRIM.DENTISTRY2014-509319.007.jpg
case_images: PMC3932284_01_CRIM.DENTISTRY2014-509319.007.jpg
case_images: fig7
case_images: Subepithelial connective tissue graft was obtained (Figure 7) in the region of number 24 and number 25 from the palate with two incisions (L-shape) (Figure 6), to prevent severe postoperative pain and discomfort and for early wound healing.
case_images: Papillary grafts from adjacent papillae first sutured midbuccally in relation to recipient site.
case_images: CRIM.DENTISTRY2014-509319.008.jpg
case_images: PMC3932284_01_CRIM.DENTISTRY2014-509319.008.jpg
case_images: fig8
case_images: The harvested connective tissue graft was sutured over the defect using a 5-0 vicryl suture to cover the graft, both papillae were first sutured midbuccally in relation to number 32 (Figure 8) followed by suturing of vertical incisions using 5-0 mersilk suture without tension (Figure 9).
case_images: Suturing of vertical incisions using 5-0 mersilk suture without tension.
case_images: CRIM.DENTISTRY2014-509319.009.jpg
case_images: PMC3932284_01_CRIM.DENTISTRY2014-509319.009.jpg
case_images: fig9
case_images: The harvested connective tissue graft was sutured over the defect using a 5-0 vicryl suture to cover the graft, both papillae were first sutured midbuccally in relation to number 32 (Figure 8) followed by suturing of vertical incisions using 5-0 mersilk suture without tension (Figure 9).
case_images: Sixth month postoperative view showing complete recession coverage in relation to tooth number 32.
case_images: CRIM.DENTISTRY2014-509319.010.jpg
case_images: PMC3932284_01_CRIM.DENTISTRY2014-509319.010.jpg
case_images: fig10
case_images: Clinical photographs were taken preoperatively (Figure 1) and postoperatively (Figure 10).