Document Type
Article
Publication Date
6-16-2025
Abstract
Gum recession is a common condition where the gum tissue pulls away from the teeth, exposing the roots and making them more prone to damage. This report describes the treatment of a 30-year-old woman who had severe gum recession on her lower left canine tooth, caused by her long-term habit of scratching the gums with her fingernail. To restore the lost tissue and protect the tooth, a double papilla flap (a surgical technique that moves nearby tissue) along with a connective tissue graft (transplanted tissue from the roof of the mouth) was used. Over 2 years, the recession was reduced by almost 90%, and the tissue over the tooth became healthier and stronger. Although her habit caused some recession to return, the thickened tissue allowed for natural healing once she controlled her habit again. This case highlights how proper surgical technique selection and execution, combined with patient behavior changes, can successfully treat severe gum recession. It also demonstrates how ultrasound imaging can be used as a non-invasive tool to monitor soft tissue healing over time.
Keywords
case study, gingival recession, plastic surgery procedures, self-injurious behavior, surgical flaps, tissue transplantation, ultrasonography
Language
English
Publication Title
Clinical Advances in Periodontics
Rights
© 2025 The Author(s). This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/BY-NC-ND/4.0/), which permits non-commercial copying and redistribution of the material in any medium or format, provided the original work is not changed in any way and is properly cited.
Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.
Recommended Citation
Wu Y-C, Duran-Garnica O, Chan H-L, Tatakis DN. Management of severe gingival recession using a double papilla connective tissue graft: A 2-year follow-up case study. Clin Adv Periodontics. 2025; 1-9. https://doi.org/10.1002/cap.10368
Manuscript Version
Final Publisher Version