The connective tissue graft with labial vestibular extension.

Because of its predictability and simplicity, the connective tissue graft has become the method of choice in most root coverage procedures. However, in cases with prominent frenum involvement and limited vestibular depth, this procedure can be difficult, if not impossible, to accomplish. Building upon a modification of the labial vestibular extension, described by Kazanjian in 1935, a technique is presented, whereby vestibular extension is accomplished in the same one-stage surgical procedure with a connective tissue graft. The learning objective of this article is to introduce this modification of the surgical technique to a larger segment of the clinical profession.