Outcomes of a Modified Envelope Flap Technique With Connective Tissue Graft and Enamel Matrix Derivative for Multiple Gingival Recessions: A Case Report.

Gingival recession is a prevalent condition with significant aesthetic and functional consequences. This case report is about a 36-year-old female who presented with multiple Miller's Class I gingival recession defects affecting teeth from 22 to 25. A modified envelope flap technique was utilized, incorporating connective tissue graft (CTG) harvested from the palate and supplemented with enamel matrix derivatives (EMD). The treatment resulted in significant root coverage in all treated sites. The patient reported high satisfaction with the aesthetic and functional improvements. This case report demonstrates the successful application of a combined approach utilizing a modified envelope flap, CTG, and EMD for the treatment of multiple gingival recessions. The findings suggest the potential of this technique for achieving predictable and favorable outcomes in similar cases.