Initially, the rationale for mucogingival surgery was for function and health. In the past few years, esthetic results from augmentation procedures have become a goal. The subepithelial connective graft is technique to achieve root coverage. Anatomically is a procedure that cannot be utilized in every case. A difficult situation is the shallow vestibule with no keratinized gingiva and a strong frenulum attachment. The subepithelial connective tissue graft with vestibular release as described here can achieve esthetic root coverage despite a shallow vestibule. J Periodontol 2003;74:893-898.
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