Case: Gingival recession/Erosion #24 and #25
46 year old female patient; medical history non contributory. In 2010, the patient had presented with minor crowding on the maxillary & mandibular arches. Periodontal probing revealed were WNL (2-3mm ranges) throughout. Invisalign treatment was done in 2010-2011. After completion of invisalign, the patient was seen by a periodontist for gingival grafting of the lower centrals, #24 and #25. In 2013, Gingival grafting with Alloderm was completed. The patient has also whitened her teeth. She wears vivera retainers at night. I’m concerned about progression of the the recession/erosion areas associated with tooth #24 & #25 and what could be causing it in addition to parafunctional habits and if there is any recommendation on how to treat the area? Below are her Before and After Photos, any recommendations, suggestions would be appreciated.