This document summarizes two cases of gingival recession. For the first case, the patient is a 19-year-old female student with good oral hygiene who has Miller class 2 gingival recession on the upper teeth. The proposed treatment plan is scaling and root planing followed by the Zucchilli technique surgery. For the second case, the patient is a 20-year-old female with moderate oral hygiene and gingival recession. The treatment plan is non-surgical scaling and root planing followed by tunnel technique surgery.

1. ‫الرحیم‬ ‫الرحمن‬ ‫هللا‬ ‫بسم‬

2. Case presentation
DR: SAJEYA KARIMI

3. Gingival recession

4. Gingival recession
Gingival recession is defined as the apical displacement
of marginal gingiva in relation to the cemento enamel
junction

5. Cause:
 gingival abrasion
 malpositioned teeth
 ginigival ablation
 gingivitis
 frenelum

6. Miller classification

7. Root coverage techniques
 Free gingival graft
 free connective tissue autograft
 Pedicle autograft
 sub epithelial graft
 pouch and tunnel technique

8. General Information
 Patient name : Rayhana
 Age : 19 year old
 Gender : Female
 Occupation: Student
 Address: Karte_Sakhi
 oral Hygiene: Good


9. Dental History
 Crowding ( Orthodonty)….1.5 year

10. Frontal view

12. Panoramic

13. radiographic Analysis

14. Dental Examination:
Upper Teeth

15. Lower Chart

16. Diagnosis:
Gingival recession
Miller class 2

17. Treatment planning:
 Phase l
 SRP
 Polishing
 oral Hygiene instruction
 Regular Follow up

18. Treatment
 Phase ll (surgery)
 Zucchilli technique for single teeth
 Double papilla technique

20. Case presentation 2

21. General information
 patient name: Nasima
 Age: 20
 Gender: Female
 Address: Karte_parwan
 Oral Hygiene: Moderate

23. Frontal view

24. Diagnosis
Gingival recession

25. Treatment
 Phase l
Scalling and root planning, polishing, oral hygiene
instruction
 Phase ll
Surgery (Tunnel technique)

26. What is tunnel technique?

27. procedure

31. Before After

32. Thank You
END