The investigators reported here the application of usage modified connective tissue graft wall technique for posterior teeth. The treatment outcomes suggested the efficacy of the used technique in treating recession defects accompanied by infrabony defects in molars.

Gingival recession is defined as the apical migration of the gingival margin leaving the root surface denuded. Treatment of Class III and IV defects and achievement good of results seems to be quite difficult due to the advanced loss of the soft and hard tissues supporting the affected teeth. Furthermore, partial to total loss of the interproximal papilla is one of the main challenges that contribute for achieving higher levels of esthetics especially in anterior zone. In such a case, conventional techniques of root coverage results usually in poor prognosis.

Inclusion Criteria:

• recession defects in posterior teeth
• vertical infrabony defects in relation to the same recession defect

Exclusion Criteria:

• smokers
• suystemic diseases
• pregnency and lactating mothers