The procedure begins with small incisions to gently move the gingiva and expose the root surface. This allows for detailed cleaning and flattening before the restorative phase.

If the procedure involves the gum and nearby bone, the tissue is closed using specialized suturing techniques. In the case of a gingival transplant, healthy tissue is transferred from a donor area to the recipient site.

Sutures are typically removed after 7 to 10 days during a follow-up appointment to monitor the healing progress.