Root Coverage of Palatal Recession Using Epithelial Embossed Connective Tissue: A Case Report

Area of Science:

• Periodontology
• Regenerative Dentistry

Background:

• Gingival recession is common, affecting labial and buccal aspects, often leading to esthetic concerns and hypersensitivity.
• Palatal gingival recession is less documented, frequently missed in routine exams, and presents unique surgical challenges due to accessibility and visibility.
• While lacking esthetic implications, palatal recession can cause significant sensitivity and complicate treatment.

Purpose of the Study:

• To report the successful treatment of a single palatal gingival recession defect.
• To evaluate the efficacy of an epithelial embossed connective tissue graft for palatal recession coverage.
• To assess root coverage and sensitivity reduction at 12 months post-operatively.

Main Methods:

• A single palatal gingival recession defect was treated using an innovative epithelial embossed connective tissue graft.
• The graft technique involved tucking the connective tissue into the underlying flap, preserving mucosal contour without exposing the connective tissue.
• Clinical outcomes, including root coverage and patient-reported sensitivity, were assessed over a 12-month period.

Main Results:

• The 12-month follow-up demonstrated significant root coverage, achieving 93.6% of the defect.
• A notable decrease in patient-reported sensitivity was observed post-treatment.
• The surgical technique successfully maintained mucosal contour and avoided connective tissue exposure.

Conclusions:

• The epithelial embossed connective tissue graft is an effective method for treating palatal gingival recession defects.
• This technique offers a viable solution for managing palatal recession, providing substantial root coverage and alleviating sensitivity.
• The described surgical approach preserves soft tissue architecture and simplifies graft handling.