Journal of Dental Specialities 2020;8(1):34–38 Content available at: https://www.ipinnovative.com/open-access-journals Journal of Dental Specialities Journal homepage: www.ipinnovative.com Case Report Treatment of gingival recession on lower lateral incisor lingually using Mucograft ® a case report Fariya Ashraf 1, *, Sunaina Boro 1 , Eiti Aggarwal 1 , Rahul Chopra 1 , Nikhil Sharma 1 1 Dept. of Periodontology and Oral Implantology, I.T.S Centre for Dental Studies and Research, Ghaziabad, Uttar Pradesh, India ARTICLE INFO Article history: Received 27-10-2020 Accepted 15-11-2020 Available online 23-11-2020 Keywords: Recession Lingual Mucograft ABSTRACT Treatment of lingual recession on the mandibular anteriors is not a regularly implemented procedure owing to its anatomical restraints, difficulty in isolation as well as lack of esthetic importance. The present case report describes the application of Mucograft ® as an alternate to connective tissue graft in the treatment of mandibular lingual recession using minimally invasive tunneling technique. The surgical technique comprises preparation of full thickness tunnel to treat a narrow and deep gingival recession of 5mm midlingually with minimal attached gingiva and keratinized tissue width of 1mm in the right mandibular lateral incisor region and then placement of a mucograft within the prepared tunnel and securing it in place using sling sutures. 21 days follow up showed satisfactory results both in terms of root coverage as well as reduction of dentinal hypersensitivity. Thus, it can be concluded that lingual root coverage with a minimally invasive full thickness tunneling technique and Mucograft ® successfully resolves the problems of dentinal hypersensitivity, proper plaque control along with the restoration of periodontal soft tissues. © This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 1. Introduction Gingival recession is the apical shift of the gingival margin with respect to the cemento-enamel junction (CEJ); which is associated with attachment loss and exposure of the root surface to the oral environment. 1 It causes dentinal hypersensitivity, unaesthetic appearance and if left untreated may lead to root caries, abrasion or cervical wear, erosion and an increase in accumulation of dental plaque. 2 There are various etiological factors which may contribute to gingival recession some of which may include various periodontal disease such as bone resorption, periodontal pockets, accumulation of plaque and calculus, mechanical forces such as improper flossing and tooth brushing, improper occlusal relationships, iatrogenic factors such as orthodontic tooth movements, anatomical factors including alveolar bone dehiscence, tooth mal-position, 3 aberrant frenal attachment as well as gingival morphology 4 and * Corresponding author. E-mail address: ashraffariya@gmail.com (F. Ashraf). tongue piercings in case of lingual recession. 5 Treatment of gingival recession on the lingual surface of mandibular anteriors is quite challenging, owing to difficulty in accessibility as well as anatomical constraints of this region. The goal of periodontal therapy is to regenerate the lost attachment of the tooth. Accordingly, it has become apparent over the past decade that a variety of regenerative procedures have the ability to correct gingival recession defects through augmentation of the height and width of keratinized gingiva, plus to gain partial or complete root coverage. The widely used among these procedures include periodontal plastic surgical (mucogingival) graft techniques, either alone or in combination with guided tissue regenerative procedures. 6 Treatment of mandibular lingual recession is not a regularly performed treatment procedure due to its lack of esthetic significance, which is one of the most common suggestions for recession coverage. 7 https://doi.org/10.18231/j.jds.2020.009 2320-7302/© 2020 Innovative Publication, All rights reserved. 34