Title

Inverted T-shape free gingival graft for root coverage in advanced recession of mandibular incisors: A case series

Authors

Sangita Agarwal*, Neha Sahu, Sanjum Aasma, Supriya Mishra & Alka Snehil

Affiliation

Department of Periodontology, Government Dental College, Raipur, India; *Corresponding author

Email

Sangita Agarwal - E-mail: agsangs@gmail.com
Neha Sahu - E-mail: neha250579@gmail.com
Sanjum Aasma - E-mail: sanjumaasma@gmail.com

Supriya Mishra - E-mail: dr.supriya4@gmail.com
Alka Snehil - E-mail: alkasnehil10@gmail.com

Article Type

Views

Date

Received September 1, 2025; Revised September 30, 2025; Accepted September 30, 2025, Published September 30, 2025

Abstract

Extensive gingival recession in the mandibular anterior region with diastema poses both functional and aesthetic challenges, where conventional free gingival grafts (FGG) often fail to provide adequate results in cases of combined vertical and horizontal tissue deficiencies. Hencce, an inverted T-shaped FGG design has been introduced, enabling simultaneous root coverage and interdental tissue augmentation. The technique involves a vertical graft segment to address recession depth and a horizontal arm to bridge the diastema, thereby enhancing stability, vascularization, and esthetic harmony. In this case series, all patients showed favorable outcomes with significant root coverage, increased width of keratinized tissue, and improved gingival contours. These results highlight the inverted T-shaped FGG as a predictable and esthetically satisfying option for managing complex recession defects complicated by diastema.

Keywords

Diastema-associated recession, inverted T-shaped FGG, Root coverage, soft tissue augmentation.

Citation

Agarwal et al. Bioinformation 21(9): 3114-3117 (2025)

Edited by

P Kangueane

ISSN

0973-2063

Publisher

Biomedical Informatics

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.