Vertical incision were made at the proximal line angles. The retracted tissue was total excised. The incision formed are butt-joints. Periosteum is left intact. A thick donor tissue from palate, and submucosa is removed by sharp dissection.
Sutures are resorbable, and placed at papilla and apical corners.
Primary root coverage was obtained in the first 10 weeks. Thereafter is was consisted secondary root coverage or creeping attachment. As one step procedure complete root coverage is both successful and predictable. A second procedure is not necessary. The width and depth of marginal tissue recession are not over-riding considerations in obtaining root coverage.