Gingival Augmentation of an Advanced Recession With Complete Root Exposure

Objectives: The aim of this clinical case is the treatment of an extremely compromised tooth treated with free gingival graft, root conditioning and apicoectomy.
Methods: A 22 years old female patient was referred for treatment of tooth number # 14, which presented nonvital, with a deep gingival recession, complete root exposure and no interproximal gingival loss.
The measured defect was 17 mm deep, 4mm wide, 3 mm probing depth in the apical area with BOP and no keratinized tissue present.
A laterally stretched (LAST) flap technique with free connective tissue graft was performed. Root surface was polished and treated with EDTA (60 sec). The apex of the root was closed with biodentine.
Results: Root coverage of 88,6 % was achieved one year after the second surgery procedure, with 2 mm keratinized tissue present.
Conclusions: Compromised teeth with complete recession can be successfully treated and maintained with the right multidisciplinary treatment.