While root coverage is predictable for Miller Class I and II recessions, th
e surgical regeneration or reconstruction of a lost interdental papilla is
more difficult to obtain. To date only a few successful case reports have b
een reported, and there are no studies that report a predictable technique
to obtain papilla reconstruction or roof coverage on Class IV recessions. T
his case report which is part of a preliminary study outlines a surgical te
chnique to obtain simultaneous root coverage and papilla reconstruction.