Free Gingival Graft for Management of Miller's Class Ii Gingival Recession in an Orthodontic Patient: A Case Report

Gingival recession is a common mucogingival defect characterized by apical migration of the gingival margin resulting in root exposure, dentinal hypersensitivity, compromised esthetics, and increased susceptibility to root caries. Orthodontic tooth movement in patients with thin gingival phenotype and inadequate keratinized tissue may predispose to recession defects. Augmentation of the attached gingiva is essential to provide periodontal stability and prevent further soft tissue breakdown. Free gingival graft (FGG) is a predictable and time-tested technique for increasing the width and thickness of keratinized gingiva. This case report describes the management of Miller’s Class II gingival recession in a 20-year-old female undergoing orthodontic treatment who was referred from the Department of Orthodontics. The defect was treated using an autogenous free gingival graft harvested from the palate. Postoperative evaluation demonstrated significant gain in keratinized tissue width, improved gingival thickness, reduction in hypersensitivity, and satisfactory root coverage with stable results. The case highlights the importance of interdisciplinary management and supports FGG as a reliable modality for mucogingival augmentation in orthodontic patients.