What is the BEST graft option for the clinical scenario shown (multiple adjacent gingival recessions on the labial surfaces of the lower anteriors)?

Correct answer: A. Connective tissue graft (CTG)

• A. Correct. The connective tissue graft (CTG) with coronal advancement flap is the gold standard for root coverage, especially for multiple adjacent recession defects. It provides excellent esthetic integration and long-term stability.
• B. Free gingival graft can increase keratinized tissue but results in a patch-like appearance with less esthetic outcome for root coverage.
• C. Z-plasty is used for scar release and vestibuloplasty, not for gingival recession coverage.
• D. Lateral pedicle graft is useful for isolated single-tooth recession but requires adequate adjacent donor tissue — not ideal for multiple recessions.