Gingival recession is the movement of the marginal soft tissue, apical to the cementoenamel junction, with exposure in the roots of the teeth. Several factors can cause gingival recessions: a distinction is made between predisposing and precipitating factors.

In the present study, the authors treated two patients affected by class-I and class-II gingival recessions, according to Miller’s classification: a 35-year-old male with a 5-mm vestibular recession of tooth 13 (case 1) and a 30-year-old female with recession of teeth 14 and 15 (case 2).


They both presented with dentine hypersensitivity, marginal gingival inflammation and psychological, aesthetic problems. After clinical-objective evaluation and periodontal x-ray examinations, periodontal surgery was chosen to correct the gingival defect

The technique adopted in the two cases was the double papilla graft with guided regeneration, thanks to the presence of a sufficient quantity of attached gingiva in the areas surrounding the lesion.

A full-thickness flap was raised, revealing the bone recession. After a thorough root planing, we performed guided regeneration with human demineralized freeze-dried bone graft imbibed with antibiotic, which was inserted into small holes made to the surrounding bone to promote bone stimulation and bleeding.

Finally, the flap was sutured after applying a resorbable membrane.

Healing was followed-up for 3, 6 and 12 months, showing a predictable outcome of the suggested protocol.


Congresso Nazionale dei Docenti di Discipline Odontostomatologiche e Chirurgia Maxillo Facciale
Firenze – Siena, 14-16 Aprile 2011

Università degli Studi di Bari Dipartimento di Odontostomatologia e Chirurgia
Direttore: Prof.ssa D. DE VITO
Calabrodental S.r.l. Unità Operativa di Chirurgia Maxillo-Facciale Regione Calabria – Crotone Dir. San: Dott. M. W. Marrelli

F. Inchingolo, F. Schinco*, G. Dipalma, M. Serafini, S. Di Teodoro, M. De Carolis, A. M. Inchingolo, M. Marrelli, A. Palladino, A. D. Inchingolo


Roccuzzo M, Bunino M, Needleman I, Sanz M.: Periodontal plastic surgery for treatment of localized gingival recessions: A systematic review. 2002.
Huang JF:, Tsay AY., Liu CM., Yang YL., Hou LT.: Double laterally-rotated bilayer flap operation for treatment of gingival recession. 2004.
Kassab MM., Badawi H., Dentino AR.: Treatment of gingival recession. 2010
Paolantonio M.: Treatment of gingival recessions by combined periodontal regenerative technique, guided tissue regeneration, and subpedicle connective tissue graft. A comparative clinical study. 2002.

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