ISSN 2398-2942      

Free gingival graft

icanis
Contributor(s):

Alexander M Reiter


Introduction

  • Gingival recession is defined as an apical migration of the gingival margin over a dehiscence of alveolar bone, causing a decreased distance between the gingival margin and mucogingival junction. It can be the result of inherent alveolar bone/root morphology (areas of root surface denuded of alveolar bone), focal trauma, pull of a frenum/frenulum, orthodontic treatment, or untreated periodontal disease.
  • Gingival cleft is a type of gingival recession in the form of a V-shaped fissure or split.
  • Gingival shrinkage is defined as a reduction in size of inflamed gingiva usually due to diminution of edema in the course of professional oral care and home oral hygiene.
  • Free graft is defined as tissue that is no longer attached to the donor site.
  • Autogenous graft comprises tissue from the patient's own body.

Uses

  • To halt gingival recession.
  • To increase the width of attached gingiva.
  • To deepen the oral vestibule.
  • To cover an area of gingival recession.
  • Inclusion criteria:
    • Otherwise healthy teeth with gingival recession.
    • Insufficient gingival tissue available on same or adjacent teeth for utilization of alternative techniques.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Greatly dependent on operator skill, adherence of postoperative instructions, patient compliance, and elimination of risk factors.

Further Reading

Publications

Refereed papers

Other sources of information

  • Wolf H F, Rateitschak E M, Rateitschak K H, Hassell T M (2005)Color Atlas of Dental Medicine - Periodontology.3rd edn. Thieme, Stuttgart.

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