A horizontal incision is made approximately 5 to 6 mm from the maxillary molars. Vertical incision are made on either side, the connective tissue is removed. Graft is placed to the denuded root surface and sutured into place. The partial thickness flap is positioned and sutured. If more root coverage is desired then the flap can be split 6 weeks later and coronally repositioned.
Plaque control is mandatory and seems to control gingival inflammation.
Post-op probing depth ranged from 1 to 3 mm even in cases of 5 mm of root coverage, with no recurrence of recession. Gingivoplasty may be necessary. Root coverage of 2 to 6 mm.