Treatment of gingival recession in two surgical stages: Free gingival graft and connective tissue grafting
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Updated: May 25, 2026

A Novel Approach to Monitoring Graft Neovascularization in the Human Gingiva
Published on: January 12, 2019
Paulo Sergio Gomes Henriques1, Marcelo Pereira Nunes, Andre Antonio Pelegrine
1Department of Periodontics, Sao Leopoldo Mandic Dental Research Institute, Campinas, SP, Brazil.
Abstract:
This report describes a clinical case of severe Miller Class II gingival recession treated by two stages of surgery that combined a free gingival graft and connective tissue grafting. First, a free gingival graft (FGG) was performed to obtain an adequate keratinized tissue level. Three months later, a connective tissue graft (CTG) was performed to obtain root coverage. The results indicated that the FGG allows for a gain in the keratinized tissue level and the CTG allows for root coverage with decreased recession level after 16 months. Therefore, for this type of specific gingival recession, the combination of FGG and CTG can be used.
