A modified free gingival graft technique for gaining vertical and horizontal soft tissue augmentation

Abstract

The aim of this case report was to describe a modified free gingival graft technique for gaining vertical and horizontal soft-tissue growth in the posterior region of the mandible before installation of dental implants. Patient A.A., a 38-year-old female, received a modified free gingival graft in the posterior region of the mandible. After 90 days, an increase, both horizontally and vertically, of the gingival tissue was observed, and the patient was satisfied with the result. The dental implant was installed, and a 3-mm of the vertical gain of keratinized gingiva was observed. Further research is needed to evaluate the effectiveness of this technique before prosthetic dental implantation.

Management of Peri-implant Mucositis of Multiple Osseointegrated Implants Using a Modified Free Gingival Graft “Punch Technique” in the Total Edentulous Area

“…Furthermore, sufficient vertical and horizontal thickness of the mucous tissue is essential for correct passive seating of the prostheses on the implants, to thereby prevent resorption at the level of the bone crest and provide a favorable environment for single and multiple prostheses. [ 18 19 20 21 ]…”

Complications following alveolar ridge augmentation procedures

“…95 Thus, vestibular deepening procedures together with free gingival graft may be indicated prior to advanced GBR procedures. 120 Similarly, any existing aberrant frenum should be corrected through a frenectomy procedure in order to eliminate frenum pull and thus prevent wound opening during the early phases of post-GBR healing. 121 Onlay soft tissue grafts may also be indicated, especially to increase soft tissue thickness at the alveolar crest level, allowing for scalloped morphology, i.e., better aesthetics, around the crown margins.…”

“…It is well documented that any ARP/GBR procedure that requires major coronal advancement of the buccal flap to obtain wound closure will create a shallow vestibular depth and narrower keratinized gingiva 95 . Thus, vestibular deepening procedures together with free gingival graft may be indicated prior to advanced GBR procedures 120 . Similarly, any existing aberrant frenum should be corrected through a frenectomy procedure in order to eliminate frenum pull and thus prevent wound opening during the early phases of post‐GBR healing 121 .…”

Effect of free gingival graft before implant placement on peri-implant health and soft tissue changes: a randomized controlled trial

“…An animal study, which investigated the effect of performing FGG simultaneously with implant placement, found that FGG may reduce the resorption of crestal bone and mucosal recession during 3 months follow-up [ 14 ]. Until now, to the best of our knowledge, effect of performing FGG before implant placement is limited to case report which suggested soft tissue growth within 3 months [ 15 ]. However, there is no animal or clinical study investigating the effect of this technique on peri-implant tissue after restoration.…”