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Arch Hand Microsurg > Volume 22(2); 2013 > Article
Journal of the Korean Society for Surgery of the Hand 2013;22(2):69-73.
Published online November 30, 2013.
DOI: https://doi.org/10.15596/ARMS.2013.22.2.69   
Microsurgical Approach for Root Coverage of Receding Gingiva in the Esthetic Zone
Ranjana Mohan, Rohit Jain
Department of Periodontics, Teerthanker Mahaveer Dental College and Research Center, Moradabad, India. ranjanamohan162@gmail.com
Received: 3 September 2013   • Revised: 17 October 2013   • Accepted: 21 October 2013
Abstract
Facial esthetics and smiling are key components in nonverbal communication and have an important role in determination of the first impression of a person. The various components of the smile in dental esthetics include Gingival scaffold, lip framework, and Teeth. The periodontist creates a smile by performing various periodontal plastic microsurgery procedures for management of mucogingival problems. A 25-year-old patient reported to the Department of Periodontology at Teerthanker Mahaveer Dental College and Research Center, Moradabad, Northern India, with the chief complaint of long looking teeth in the upper jaw, making him conscious while smiling. Miller class I gingival recession with Maxillary left canine (23) was diagnosed. Periodontal plastic microsurgery employing double papilla grafting with connective tissue graft harvested from the palate in order to cover denuded root was performed using microsurgical instruments and microsuturing with 6-0 suturing material under magnification. Healing was uneventful, with achievement of 100% root coverage of denuded root after three months. The patient was highly impressed and satisfied with his enhanced smile.
Key Words: Esthetics, Gingival recession, Microsurgery, Double papilla graft, Connective tissue graft, Microsuturing
 
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