# A novel approach to managing gingival recession in protruded roots: a case report

## TL;DR

A new treatment method successfully covered a protruding root with gum tissue in a patient who refused traditional orthodontic options.

## Contribution

A novel combination of odontoplasty and connective tissue graft for root protrusion and severe gingival recession.

## Key findings

- The procedure achieved complete root coverage and increased keratinized tissue thickness.
- Patient reported high satisfaction with both functional and aesthetic outcomes.
- The method preserved root structure and improved graft vascularization.

## Abstract

This case report presents an innovative approach to managing severe isolated gingival recession associated with root protrusion beyond bone boundaries in a 28-year-old female patient. The patient, who had a history of orthodontic treatment for a 5-year-period, displayed significant gingival recession at the lower right central incisor. Conventional orthodontic repositioning was declined by the patient, leading to the adoption of an alternative treatment strategy. A combination of odontoplasty to trim the protruding root (~1 mm) and a connective tissue graft was employed. The procedure involved meticulous flap creation, root surface biomodification, and precise graft placement to achieve optimal functional and esthetic outcomes. Follow-up over 3 months revealed increased keratinized tissue thickness and complete root coverage, with high patient satisfaction. This novel technique demonstrates the potential to address complex recession cases effectively, preserving root structure and enhancing graft vascularization. Further research is warranted to validate these findings across broader clinical scenarios.