Introduction:

periodontal recession is a frequent affection of the periodontium. It is the exposure of the root surface due to the apical displacement of the gum. Its incidence varies from 8 % in children to 100 % after 50 years of age. It affects the esthetics and function of the tissues; it is currently a reason for patients and professionals to visit the dentist. Periodontal plastic surgery is chosen as a plausible solution. This case was attended at the Antonio Briones Montoto Stomatological Clinic in Pinar del Río in 2018, with the aim of reporting the treatment and long-term evolution of a patient with localized periodontal recession type 1 of Cairo and Miller class II.

Case presentation:

female patient, white skin, 25 years of age with a history of good health who referred root denudation of the lower left central incisor, which affects her esthetics and tooth brushing. Vigorous horizontal brushing with a hard toothbrush and abrasive toothpaste was detected, as well as a deleterious habit of protractile tongue, migration of the gum towards the apical in 31, which exposed the dental root 3 mm and pointed interproximal papillae with no affectation. X-rays showed no periodontal destruction in the interdental area. Correction and control of tooth brushing and deleterious habit was carried out; periodontal plastic surgery was chosen by means of lateral pedicled graft.

Conclusions:

The periodontal recession was eliminated, the patient's esthetics was restored and the attached gingiva was functional, a result that has remained in the long term.

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