Surgical reinstatement of aesthetics in the maxillary anterior region: a case report

The maxillary anterior region is frequently treated for aesthetic enhancement. This article presents the case of a patient who had undergone surgery for treatment of a tumor of the hypophysis involving intraoral access to the sella turcica. The treatment had caused the formation of severe gingival recession on the buccal surface of the maxillary anterior teeth. A variety of surgical techniques were considered for covering the exposed root surfaces. The surgical site was analyzed, and the response of the periodontal tissue to the treatment was anticipated. The bilaminar method, utilizing a subpedicle connective tissue graft (SCTG), was selected. The learning objective of this case presentation is to demonstrate that when the appropriate treatment procedure is selected, restoration of function and aesthetics can be achieved even in the most advanced cases.