Use of a serially layered, double connective tissue graft approach to enhance maxillary anterior esthetics

The demands of current periodontal practice require that clinicians use varied approaches to resolve poor esthetic appearances. In particular, patients are becoming less and less accepting of exposed roots and lost interdental papillae, especially in the maxillary anterior sextant. This report describes a surgical technique that combines the advantages of a root-coverage procedure using subepithelial connective tissue grafts and an incision design that preserves interdental papillae, coupled with the use of enamel matrix derivative (Emdogain) to maximize the regenerative potential.