Introduction: Gingival recession presents differently, such as with inadequate width of attached gingiva and vestibular depth. Free gingival graft is the favourite choice of clinicians for the management of such cases. Fibrin, fibro-nectin and other growth factors (from platelet concentrate) are also crucial for tissue repair and regeneration.
Objective: To increase the width of keratinized tissue.
Methodology: 35-year-old female patient reported with the chief complaint of root exposure in the mandibular front region. Gingival recession was present with inadequate width of attached gingiva and vestibular depth as well as aberrant frenal pull with respect to the left mandibular central incisor. With the consent of patient, the site was treated using free gingival autograft along with a platelet-rich fibrin membrane to achieve better results.
Results:- After 1 month, a thick band (2mm) of attached gingiva was obtained; 1 mm recession coverage was also observed. A thick fibrous reunion was observed in the frenum area, which was corrected by vestibular deepening at the 1 month visit only. Patient was recalled every three months.
Conclusion: Free gingival graft with a platelet-rich fibrin membrane may be the best treatment option for gingival recession when an increase in the apico-coronal dimension of the keratinized gingival tissue is desirable. A free gingival graft procedure apical to the recession area is effective in halting progression of recession, increases the keratinized gingiva, and enhances plaque removal.