Intraoral De-Epithelialized Gingival Graft in the Treatment of Multiple Adjacent Gingival Recessions: Case Report with a 1-Year Follow-Up

Background: This article depicts a clinical case with 1 year follow-up in which de-epithelialized gingival graft (DGG) was used with the tunnel technique to treat multiple gingival recessions (GRs), and describes a technique used to intraoral de-epithelialization with diamond burr. Methods: A 45-year-old male patient was referred for evaluation and treatment of anterior maxillary multiple GRs. DGG with the tunnel technique was proposed to coverage of Cairo Recession Type I GRs on teeth #21 through #22 and an on tooth#23. Tunnel bed area had been prepared with microblades and tunnel knives. Donor are measured and de-epithelialized with diamond burs intraorally. After DGG harvested split cross-sectionally. The DGG was placed through the tunnel bed with auxillary sutures and sutured with vertical double-crossed technique. Results: Ten days after the surgical procedure, the tissue region was homogeneous where there is not uncovered DGG part, and clinically increased tissue thickness was observed. After 1 years of follow-up, the mean coverage 92.2%. Besides, increasing of tissue thickness was observed. Conclusion: Intraoral DGG using with the tunnel technique successfully for treatment of multiple GRs with an increase of the soft tissue thickness and gain aesthetic outcomes.