Hard and soft tissue augmentation in a postorthodontic patient: a case report

Area of Science:

• Periodontology
• Regenerative Dentistry
• Oral Surgery

Background:

• Thin gingival biotype and gingival recession present challenges in achieving stable periodontal regeneration.
• Interceptive treatment is crucial for managing mandibular anterior flaring and recession defects.

Observation:

• A two-stage surgical approach was employed, involving bone grafting and connective tissue grafting.
• Postoperative follow-up extended to three years, assessing both hard and soft tissue changes.
• Clinical evaluation included measurements of labial plate augmentation, root coverage, and tissue thickness.

Findings:

• The combined grafting technique resulted in significant augmentation of the labial plate thickness (2-3 mm) and soft tissue.
• Near-complete root coverage was achieved, with residual recession minimal after one year.
• Interradicular concavities and interdental craters were eliminated, restoring the mucogingival junction.

Implications:

• This combined hard and soft tissue grafting approach offers a viable solution for augmenting thin biotypes and managing complex recession defects.
• The observed bone and soft tissue gains suggest improved long-term stability and reduced risk of future clinical attachment loss.
• The findings support the use of regenerative techniques to enhance periodontal aesthetics and function.