Envelope Technique with Vestibular Releasing Incision - A Single Step Procedure for Root Coverage

Treatment of gingival recession in cases with a shallow vestibule and frenal pull are always challenging. Root coverage techniques have been continuously revised and simplified over the past few decades to obtain more predictable, esthetic, and stable results.

Case Presentation: Two healthy patients with isolated Miller’s class I gingival recession, shallow vestibules, and frenal pull, were treated with an envelope technique using connective tissue grafts with vestibular releasing incisions in a single step procedure.

Conclusion: The single step technique resulted predictable root coverage and increased width of keratinized gingiva. This technique promises to be a viable option for the treatment of isolated gingival recession associated with shallow vestibule and high frenal pull.