Sir, an 81-year-old male patient presented to an undergraduate restorative clinic in 2019 for a new patient assessment, following a near 20-year absence from dental treatment.

The last standing molars (47/38) were extracted immediately, and after some oral hygiene instruction and trials of at-home irrigation of deep pockets with chlorhexidine, he was considered an appropriate candidate for periodontal surgery. Between June and July of 1987, this patient underwent periodontal surgery involving apically repositioned flaps from the canine to the last standing molar bilaterally, without regenerative techniques or grafting.

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