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intheregionofteeth#42to#32was achieved with the use of tunnelling instruments. There were partial pa- pilla separation and internal fren- otomy (Fig. 6). After this, an autoge- nous connective tissue graft was harvested from the left anterior lat- eral aspect of the palate. This was subsequently guided through the tunnel to rest over the exposed root surfaces of teeth #41 and #31. In ad- dition to this, the graft would pro- vide supplemental support for the overlying soft tissue in the region (Fig. 7). The gingival soft tissue lay passively over the connective tissue graft prior to suturing and wound closure (Fig. 8). Coronal advancement of the overlying pouch/flap was achieved with a continuous suture tech- nique. Tension-free closure of the wound was possible; however, spe- cific caution was required particu- larly in the region of tooth #31 owing to the previous separated frenal insertions. Were there to be excessive coronal advancement of the pouch/flap, this could have led to potential wound breakdown due to increased tension in the region. The connective tissue graft was intentionally left exposed to allow for an increase in the zone of kera- tinised tissue after healing (Figs. 9 & 10). At the two-year review, the patient reported no sensitivity or tenderness in the region and was delighted with the outcome. She was able to fully clean the teeth and excellent gingival health was ob- served (Fig. 11). At the review stage, there were no signs of inflamma- tion, no bleeding on probing, and no swelling or oedema present. Al- though there was still minor reces- sion (1 to 2 mm) present affecting teeth #41 and #31, it was not possi- ble to achieve full root coverage owing to the general positioning of the teeth, the attritive wear present, and the limited support and width for the interdental papillae, espe- cially in between teeth #41 and #31. The persistent mild recession was no cause of concern for the patient. The thickness of the gingiva and the zone of attached kerati- nised tissue had been increased, in addition to the vestibular sul- cus being deepened. All of these features enabled the patient to fully maintain the area. The cru- cial aspects for a successful out- come for the case were to ensure careful soft-tissue handling, good adaptation and stability of the con- nective tissue graft at the recipient site, and tension-free wound clo- sure. At three months post-treat- ment, the hard palate donor site was fully healed with no signs of scarring (Fig. 12). 15 Dental Tribune United Kingdom Edition | 9/2016 TRENDS & APPLICATIONS Why exhibit at SCANDEFA? SCANDEFA is a leading, professional branding and sales platform for the dental industry. In 2017 we are pleased to present SCANDEFA with two fair days and a more flexible course programme at the Annual Meeting. In addition to sales, brand- ing and customer care, the fair format gives you the opportunity for networking, staff care, profes- sional inspiration and competence development. SCANDEFA is organised by Bella Center Copen- hagen and held in collaboration with the Annual Meeting organised by the Danish Dental Associa- tion (tandlaegeforeningen.dk). How to exhibit Please book online at scandefa.dk or contact Sales & Relation Manager Mia Clement Rosenvinge mro@bellacenter.dk/+45 32 47 21 33. Who visits SCANDEFA? In 2016 over 8,000 dentists, dental hygienists, dental assistants and dental technicians visited SCANDEFA. For further statistical information please see scandefa.dk Where to stay during SCANDEFA? Two busy fair days require a lot of energy, and there- foreagoodnight’ssleepandadeliciousbreakfastare a must. We offer all of our exhibitors a special price for our three hotels, AC Hotel Bella Sky Copenhagen – Scandinavia’s largest design hotel, Hotel Crowne Plaza – one of the leading sustainable hotels in Denmark and 5*Copenhagen Marriott Hotel. We also offer easy shuttle service transport between the airport, Hotel Crowne Plaza and AC Hotel Bella Sky Copenhagen. scandefa.dk SCANDINAVIAN DENTAL FAIR 27-28 APRIL 2017 SCANDEFA invites you to exclusively meet the Scandinavian dental market and sales partners in wonderful Copenhagen. INSPIRATION, BUYING AND NETWORKING MUCH TO LOOK BACK ON - MORE TO LOOK FORWARD TO 50 YEARS SCANDEFA 2017 AD Dr Matthew Garnett is a specialist peri- odontist and currently works as a consultant in restorative dentistry at Newcastle Dental Hospital. He also works independently in private prac- tice in the North East region of Eng- land. Garnett can be contacted at matthew.garrett@uclh.nhs.uk. 9 10 11 12 mro@bellacenter.dk/+4532472133. 9101112