case_images: PMC11795332_01
case_images: Baseline clinical situation.. Preoperative view: maxillary left quadrant, buccal view of the multiple recession defects extending from element 22 to 25.
case_images: cureus-0017-00000076990-i01.jpg
case_images: PMC11795332_01_cureus-0017-00000076990-i01.jpg
case_images: FIG1
case_images: Figure 1 illustrates the clinical situation at baseline.
case_images: Surgical incision design.
case_images: cureus-0017-00000076990-i02.jpg
case_images: PMC11795332_01_cureus-0017-00000076990-i02.jpg
case_images: FIG2
case_images: Figure 2 illustrates the surgical incision design.
case_images: Flap mobilization and coronal advancement technique.
case_images: cureus-0017-00000076990-i03.jpg
case_images: PMC11795332_01_cureus-0017-00000076990-i03.jpg
case_images: FIG3
case_images: Throughout the procedure, the surgical blade was kept parallel to the flap and pulled the lip for identifying muscular insertion, as shown in Figure 3.
case_images: Anatomic papilla de-epithelialization and connective tissue bed preparation.
case_images: cureus-0017-00000076990-i04.jpg
case_images: PMC11795332_01_cureus-0017-00000076990-i04.jpg
case_images: FIG4
case_images: The anatomic papilla was de-epithelialized to expose connective tissue, creating a bed for flap stabilization, as evidenced in Figure 4.
case_images: Intraoperative view.
case_images: cureus-0017-00000076990-i05.jpg
case_images: PMC11795332_01_cureus-0017-00000076990-i05.jpg
case_images: FIG5
case_images: Exposed root surfaces were treated with Gracey curettes, followed by 24% EDTA (Straumann  PrefGel ) for smear layer removal, and rinsed with saline before applying Straumann  Emdogain  (Figure 5).
case_images: Connective tissue graft placement.
case_images: cureus-0017-00000076990-i06.jpg
case_images: PMC11795332_01_cureus-0017-00000076990-i06.jpg
case_images: FIG6
case_images: CTG, harvested using a trap-door technique, was trimmed and secured over the root surfaces with resorbable sutures (Figure 6). Coronal advancement of the flap was achieved, followed by stabilization with 6-0 sling sutures and interrupted sutures (Figure 7).
case_images: Flap suturing and advancement.
case_images: cureus-0017-00000076990-i07.jpg
case_images: PMC11795332_01_cureus-0017-00000076990-i07.jpg
case_images: FIG7
case_images: CTG, harvested using a trap-door technique, was trimmed and secured over the root surfaces with resorbable sutures (Figure 6). Coronal advancement of the flap was achieved, followed by stabilization with 6-0 sling sutures and interrupted sutures (Figure 7).
case_images: PMC11795332_02
case_images: Lateral view of the maxillary left quadrant one month after surgical procedure showing the correction of the mucogingival defects.
case_images: cureus-0017-00000076990-i08.jpg
case_images: PMC11795332_02_cureus-0017-00000076990-i08.jpg
case_images: FIG8
case_images: Improvement in CAL was noted, indicating reduced tissue loss, as evidenced in Figures 8-9.
case_images: Baseline and postoperative buccal views.. (a) Baseline buccal view showing multiple recession defects from 22 to 25. (b) Buccal view one-month post-surgical procedure.
case_images: cureus-0017-00000076990-i09.jpg
case_images: PMC11795332_02_cureus-0017-00000076990-i09.jpg
case_images: FIG9
case_images: Improvement in CAL was noted, indicating reduced tissue loss, as evidenced in Figures 8-9.