Expert Recession Coverage Treatment on Tooth 31: A Case Study by Dr. Meizi Eliezer

Introduction

Three years ago, a 30-year-old male patient was referred to our clinic by his dentist for a specialized recession coverage treatment on his lower front tooth (tooth 31). Suffering from significant sensitivity and pain, he was unable to brush properly and was increasingly worried about the long-term prognosis of his tooth.

Case Overview

Upon evaluation, the patient was diagnosed with a Miller Class 3 recession, indicating that while complete root coverage might not be achievable, significant improvement was possible. I made sure to clearly explain the prognosis and treatment expectations, ensuring that the patient understood the limitations and potential outcomes.

Treatment Alternatives:
While extraction and implant placement were considered, recession coverage was chosen as the best option. This approach not only preserves the natural tooth but also offers a longer-term solution with fewer complications.

Treatment Details

Procedure Overview:
For this case, I opted for the lateral tunnel technique combined with a connective tissue graft harvested from the palate. To enhance the healing process, I also applied cross-linked hyaluronic acid.

1. Initial Assessment & Planning:
   A thorough examination and diagnostic imaging confirmed that a specialized recession coverage procedure was appropriate for restoring the gum line around tooth 31.

2. Surgical Technique:

   • Lateral Tunnel Technique: This minimally invasive method was used to create a tunnel in the gum tissue adjacent to the affected area.
   • Connective Tissue Graft: The graft was carefully harvested from the palate and inserted into the tunnel to provide additional tissue support.
   • Adjunctive Use of Hyaluronic Acid: Cross-linked hyaluronic acid was applied to facilitate healing and enhance tissue regeneration.

Outcome & Follow-Up

The treatment resulted in an impressive 90% coverage of the recession defect. The patient reported complete relief from sensitivity and was able to resume regular brushing without discomfort. This outcome not only improved the patient’s oral health but also restored his confidence in maintaining his natural tooth.

Conclusion

This case study underscores the effectiveness of a specialist recession coverage treatment using the lateral tunnel technique, connective tissue graft, and cross-linked hyaluronic acid. By preserving the natural tooth, we achieved significant functional and aesthetic improvements, even in a challenging Miller Class 3 scenario.

If you’re experiencing similar periodontal issues or have concerns about gum recession, consider consulting a specialist to explore tailored treatment options that can restore both comfort and oral health.

For more information or to schedule a consultation, please contact our clinic. Discover how expert periodontal treatments can help you achieve lasting gum health and a beautiful smile.