Gingival recession treatment with connective tissue graft

Comparison – Existing situation vs. detailed planning:

The evaluation revealed the presence of traumatic occlusal contacts in the anterior. However, processes such as attrition, abrasion and erosion (especially combinations) can cause severe tooth wear.

Study models, an arbitrary face bow record and a registration in centric relation were taken. The newly defined occlusal position should be adequately verified and possibly adjusted.

Gingival recessions were present, ranging from 2.0 to 4.0 mm and affecting the esthetic severely. These recessions were classified as Miller Class I. Modified envelope incisions and a partial dissection of the tissue were performed to create the implant bed for the connective tissue graft (CTG). The CTG was harvested from the lateral palate.

Insertion of a connective tissue graft by Dr. Otto Zuhr

To improve the thickness of the gingiva and cover the previously exposed root surfaces, a tunneling technique in combination with a connective tissue graft harvested from the lateral palate was applied.

Watch the step-by-step tutorial by Dr. Otto Zuhr!

The picture: Appearance after the healing period prior to prosthetic treatment

The surgical healing period was 6 months in total, with the possibility for definitive treatment of the posterior region and of the mandibular anterior region in between.