Background: Lingual gingival recession is a unique clinical concern because of its aesthetic and oral health
implications. While many treatment approaches to root coverage have been explored, use of amniotic membrane
(AM), known for its anti-inflammatory and regenerative capabilities, is comparatively less used in lingual recession
defect treatment.
Objective: The case series was done to assess the efficacy of amniotic membrane to achieve root coverage of lingual
recession defects, with an image analysis system for objective measurement.
Methods: Three patients with Cairo's RT I or II classification of lingual recession were included. After local
anesthesia and meticulous root surface debridement, AM grafts were placed onto the recession areas and splinted
with sutures. Postoperative assessments were performed over a period of six months. Clinical outcomes data were
monitored using data such as recession depth (RD), recession width (RW), keratinized tissue width (KTW), mucosal
thickness (MT), percentage of root coverage, and measurements that were further validated with an image analysis
system for increased accuracy.
Results: All cases showed significant root coverage and KTW gain at the six-month follow-up. Image analysis
revealed a mean root coverage of 92%, with significant soft tissue healing and esthetic improvement. Patients
reported minimal postoperative pain and were highly satisfied with the result.
Conclusion: Treatment of lingual gingival recession using amniotic membrane produced satisfactory clinical and
esthetic results, indicating its possibility as a good regenerative therapeutic modality in periodontal therapy.
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