Ternion Approach of Surgical Coverage in Single Tooth Recession: A Case Report on a Novel Technique

The goal of mucogingival surgery or periodontal plastic surgery is to preserve gingiva, remove aberrant frenum or muscle attachments, increase vestibular depth, and correct the denuded root surface. Recession coverage is indeed a challenging technique, whereas covering the exposed roots is not only important for aesthetic reasons but also for preventing further issues such as tooth sensitivity, root decay, and loss of supporting bone. A coronally advanced flap (CAF) is one of the most common procedures done for recession coverage because of the concept that the coronal advancement of a flap without tension to cover the exposed root surface or CAF with autogenous grafts results in bulk and improves the thickness of the gingival tissue, increasing the stability and aesthetics of the result. This case report describes the ternion approach of surgical coverage in single tooth recession, with a combination of CAF + free gingival graft + free rotated de-epithelized papilla. This approach, which has the advantage of providing high stability to the flap, also results in bulk, increases the tissue thickness, and enhances aesthetic outcomes.