Background: Buccal recession is a main complication of median lower lip piercing. This article reports on the treatment of a clinical case with two areas of buccal recession in the first mandibular incisors 4 years after removal of the piercing.
Methods: A 28-year-old female patient was referred for evaluation and treatment and presented with two areas of buccal recession of 3 mm in size in teeth numbers 31 and 41. Following oral hygiene instructions and supragingival debridement the plaque index was 20 % and the gingival index was 4 %. A subepithelial connective tissue graft in combination with enamel matrix derivatives (EMD) was carried out using the tunnel technique to provide root coverage.
Results: The tissue color was nearly homogeneous with some reddish regions where the connective tissue was left uncovered ten days after the surgical procedure and there were no signs of incisions or suture marks. After 3 months there was complete root coverage, gain of keratinized tissue and gain in tissue thickness.
Conclusions: The tunnel technique in combination with a subepithelial connective tissue graft and EMD was used successfully for the treatment of buccal recession after removal of the median lower lip piercing.