A Case Report : The Correction of Multiple Lingual Gingival Recession in Lower Anterior Teeth Using the Free Gingival Graft with Tunnel Technique
Abstract
Gingival recession is more prominent on the facial surface and only mildly affects the lingual aspect. This condition can lead to aesthetic concerns, dentinal hypersensitivity, root caries, and the potential for plaque accumulation. Lingual root coverage presents a challenging task due to the constraints posed by unique anatomical configuration. As a result, making a prognosis can be equally challenging. This report emphasizes the case of lingual root coverage in lower anterior teeth to address issues related to hypersensitivity and to prevent periodontitis, a condition that can ultimately result in tooth loss. The report will shed light on the complexity of performing root coverage surgery on the lingual aspect, employing the free gingival graft with the tunnel technique.
The Thai female 27 years old patient came in with hypersensitive dentine at the lower anterior teeth. An oral examination showed that tooth 31 and 33 had developed gingivitis with 8 and 6 millimeters of lingual gingival recession, respectively. After hygienic phase treatment, 31 and 33 were treated with free gingival graft combined with the tunnel technique. After treatment, the patient felt satisfied with the outcomes, had no hypersensitive dentine, and could clean 31 and 33 well.
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