Gingival recession management with a combination of non-surgical and surgical therapies (frenectomy and connective tissue grafts)

Edward Dwingadi, Fatimah Maria Tadjoedin, Yudha Rismanto, Yuniarti Soeroso

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


There are numerous etiologies of gingival recession and bone loss. Orthodontic labial tooth movement is a risk due to a thin buccal bone. Iatrogenic issues, such as improper contact points and overhanging filling margins, can contribute to the development of gingival recession. This study's objective was to evaluate two surgical and non-surgical gingival recession therapy-treatment cases. One case used a frenectomy, and one case used a coronally repositioned flap with a connective tissue graft. The case I's patient was a 32-year-old woman receiving orthodontic treatments. She had 4-5mm Miller Class III gingival recession that was a third of the way to her mid-root. Iatrogenic fillings had exacerbated the recession. Case II's patient was a 48-year-old woman with 3-4 mm of Miller class III gingival recession. An improper contact point had exacerbated the recession. In Case I, the iatrogenic fillings was recontoured, and the tension was released with a frenectomy. In Case II, the improper contact point was corrected to reduce the recession from Miller Class III to Miller Class I. A coronally repositioned flap was completed using a connective tissue graft from the patient's palate. Identifying all etiologies and performing adequate initial therapies are crucial to the success rate of gingival recession treatments. A satisfactory result can be achieved by eliminating etiologies using non-surgical therapies. The clinical-attachment levels of both cases increased by 2-3 mm. A surgical procedure was conducted for Case I based on the assessment of the recession's condition and treatment.

Original languageEnglish
Title of host publicationCase Reports in Dentistry
PublisherNova Science Publishers, Inc.
Number of pages12
ISBN (Electronic)9781536140439
Publication statusPublished - 18 Jul 2018


  • Connective tissue graft
  • Gingival recession
  • Orthodontic adverse effect


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