Management of Gingival Recession and Tooth Sensitivity: A Case Study

This case report details a comprehensive, interdisciplinary approach for managing localized gingival recession and dentin hypersensitivity in a 44-year-old female patient. A thorough clinical evaluation revealed the primary etiology to be a combination of a thin gingival biotype, aggressive toothbrushing, and occlusal trauma. The multi-phased treatment plan included initial non-surgical periodontal therapy, occlusal adjustment, and the fabrication of an occlusal guard, followed by mucogingival surgery using a subepithelial connective tissue graft. The successful outcome, which involved a significant increase in attached gingiva, resolution of hypersensitivity, and improved esthetics, highlights the importance of addressing all contributing factors to achieve predictable, long-term results.