Featured Clinical Case: Connective Tissue Graft for Localized Gingival Recession

Featuring Dr. Arsalan Danesh

This week’s DRN Featured Clinical Case highlights the treatment of a localized gingival recession defect following an unsatisfactory Class V restoration.

The case was treated by Dr. Arsalan Danesh using a connective tissue graft to improve soft-tissue thickness, root coverage, and gingival contour. Arsalan Danesh

Clinical Presentation

The patient presented with a localized gingival recession defect associated with a previously restored Class V lesion.

The existing restoration and surrounding soft-tissue architecture presented both functional and esthetic concerns, with inadequate tissue thickness and recession affecting the gingival margin.

Treatment

A connective tissue graft procedure was performed to augment the soft tissue and address the localized recession defect.

The treatment objectives included:

• Increasing gingival tissue thickness
• Improving root coverage
• Establishing a more favorable gingival contour
• Creating a healthier and more stable soft-tissue environment

3-Week Follow-Up

At the three-week postoperative evaluation, the site demonstrated early healing with noticeable improvement in tissue thickness, root coverage, and gingival contour.

While continued healing and maturation of the graft are expected, the early postoperative result demonstrates a favorable initial soft-tissue response.

Clinical Discussion

Cases involving gingival recession around previously restored cervical lesions can require careful management of both the restorative and periodontal components.

Connective tissue grafting can provide an effective approach for increasing tissue thickness and improving the soft-tissue architecture when appropriately indicated.

Long-term evaluation will ultimately determine the stability and maturation of the final result.

Featured Clinician

Dr. Arsalan Danesh

View Dr. Danesh’s profile on the Dental Resource Network and explore more clinical cases from dental professionals across the DRN community.

Have an interesting case to share?

DRN invites clinicians to contribute their cases, techniques, and outcomes to help create meaningful clinical discussion within the dental community.

Dental Resource Network
Connecting Dentistry. Sharing Knowledge. Advancing the Profession.