Periodontal microsurgery
Severe Recession Case: Root Coverage and Tissue Reinforcement
A delicate recession case managed with microsurgical tissue grafting to improve soft tissue volume, root coverage potential and periodontal stability.
Clinical concern
Recovery context
Digital planning and surgical proof
Photographic diagnosis
High-quality clinical photographs support recession mapping, tissue phenotype assessment and patient communication before surgery.
Periodontal measurements
Recession depth, keratinized tissue, probing data and tooth position guide the soft tissue strategy and prognosis discussion.
Microsurgical sequence
The flap design, graft position and tension-free stabilization are planned before surgery to protect delicate soft tissue healing.
Materials, guides and technique context
Biomaterials
Autogenous connective tissue grafting when indicated by tissue phenotype and clinical diagnosis.
Surgical guide
No implant guide required; the planning focus is periodontal microsurgery and soft tissue stabilization.
Technique
Tunnel root coverage and connective tissue grafting.
Two-specialist planning value
Complex mucogingival cases benefit from a second specialist review of diagnosis, prognosis, flap design and tissue management before surgery.
What the patient can understand before surgery
The patient concern and aesthetic risk are documented with clinical photos.
The periodontal phenotype and recession anatomy are reviewed before choosing the technique.
Expected healing stages and limitations are explained before treatment.
Diagnosis and treatment sequence
Problem
Deep gingival recession with exposed root surface, sensitivity, thin tissue phenotype and concern about long-term tooth stability.
Diagnosis
Severe recession defect with limited soft tissue thickness and a compromised facial periodontal envelope. The clinical priority was tissue reinforcement and root coverage planning.
Planning
Clinical photographs, periodontal charting, recession measurements, phenotype assessment and radiographic review were used to evaluate prognosis and treatment sequence.
Treatment
Minimally invasive root coverage surgery using a tunnel approach with connective tissue grafting and tension-free soft tissue stabilization.
Outcome
Early healing showed a healthy and stable tissue response, with improved soft tissue thickness and favorable progression considering the initial severity.
Key clinical points
Severe recession with thin tissue phenotype
Microsurgical tunnel approach
Connective tissue graft for tissue thickening
Early healing documented with favorable tissue response
Important note
Individual results vary. Root coverage predictability depends on diagnosis, tissue phenotype, tooth position, habits, hygiene and healing response.
This case is shown for educational and informational purposes. A similar concern may require a different treatment plan after clinical and radiographic assessment. Digital planning and surgical guides support accuracy when indicated, but they do not remove biological risk or the need for intraoperative surgical judgment.
Would you like your case reviewed?
Send your concern before arranging travel or treatment. The team can guide you on the records needed for a first assessment.
