Abstract
Abstract Introduction One of the most challenging aspects of treating gingival recession type 3 (RT3) is reconstructing lost interdental papilla, which is directly related to the loss of interproximal bone. Free gingival graft (FGG) has been successfully used to increase the width of keratinized tissue (KTW) with minimal trauma to the interdental papilla; creeping attachment also plays an additional role in improving the results. Case Presentation The included two case reports suggest a novel technique using a FGG that shaped in an inverted T-shape to achieve partial root coverage, improve the compromised interdental papilla, and increase the keratinized tissue width in RT3 defects. Conclusions This report presents a novel yet intuitive surgical technique for partial coverage of RT3 defects and reconstruction of the interdental papilla. Summary The inverted T-shape soft tissue graft may be a valuable technique for papillary reconstruction in the challenge RT3 recessions.