In this case, a patient with severe gum recession was treated with soft tissue allograft. Gum recession was seen in the upper left first bicuspid, and adjacent areas not needing immediate attention. (Fig 1).

Step one of treatment was for the patient to alter brushing technique to eliminate mechanical trauma. The next phase was surgical, including local anesthesia with aggressive cleaning of the roots of teeth 20, 21, and 22, followed by tetracycline application. Incisions were made on the facial aspect of #s 12, and 13, extending mesially and distally on the buccal side at the base of the papillae. Partial thickness dissection carried into the vestibule for necessary extension thus releasing the muscle pull on #12. OrACELL was sutured over the facial surface, and the buccal flap was sutured over the graft. A periodontal dressing was used to protect the graft. Most of sutures removed at 2 weeks; however some remained functional and were left (Fig 2)

Excellent healing was seen at the 4 week follow-up; however, some OrACELL was protruding from free gingival region in area between #12 and #13 (Figs 3-4).

Excellent healing at 2 & 3 months; all remaining sutures removed (Figs 5-6)

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