2019
DOI: 10.1002/jper.19-0350
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Autogenous soft tissue grafting for periodontal and peri‐implant plastic surgical reconstruction

Abstract: This state‐of‐the‐art review presents the latest evidence and the current status of autogenous soft tissue grafting for soft tissue augmentation and recession coverage at teeth and dental implant sites. The indications and predictability of the free gingival graft and connective tissue graft (CTG) techniques are highlighted, together with their expected clinical and esthetic outcomes. CTGs can be harvested from the maxillary tuberosity or from palate with different approaches that can have an impact on graft q… Show more

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Cited by 199 publications
(284 citation statements)
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References 78 publications
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“…The results confirmed that FGG stands true as the gold standard treatment for increasing KT. 76 When the arms were compared with untreated sites, all treatments resulted in significantly greater KT gain. When APF was used as reference, the grafted sites (ADM, CM, FGG, and LCC) showed significantly better outcomes.…”
Section: Phenotype Modification As a Results Of Soft Tissue Non-root Cmentioning
confidence: 98%
See 1 more Smart Citation
“…The results confirmed that FGG stands true as the gold standard treatment for increasing KT. 76 When the arms were compared with untreated sites, all treatments resulted in significantly greater KT gain. When APF was used as reference, the grafted sites (ADM, CM, FGG, and LCC) showed significantly better outcomes.…”
Section: Phenotype Modification As a Results Of Soft Tissue Non-root Cmentioning
confidence: 98%
“…It has been established that the CTG is the treatment of choice in terms of providing the greatest probability of achieving complete root coverage, increasing KT, better esthetics and maintaining the root coverage outcomes over time. 14,62,76,77 On the other hand, it has been observed that soft tissue graft substitutes while effective in GT augmentation, provide limited potential for increasing KT. 12,73,74 Our results confirmed that the CTG is the superior treatment in terms of KT gain.…”
Section: Phenotype Modification As a Results Of Root Coverage Proceduresmentioning
confidence: 99%
“…14,17 Consequently, the reported high contraction rates could be dependent on the surgical approach to prepare the receptor area, on the graft's size and also on the receptor site's biotype, keratinized mucosa width, previous bone grafting interventions, and areas of possible muscle pull. 14,17,29 In particular, the present linear regression analyses revealed a significant association between the initial KT width (at receptor site) and the graft thickness shrinkage after 3 months of surgery, suggesting that receptor sites presenting >0 mm of KM width (<3 mm) were less susceptible to thickness shrinkage over time. This finding could bring important clinical considerations to determine which cases are more prone to graft shrinkage, however the R 2 value of this association was low, and this finding should be evaluated in future studies.…”
Section: F I G U R Ementioning
confidence: 99%
“…[12][13][14] Nevertheless, FGG undergoes inevitable dimensional changes during the healing phase which may affect the indications and predictability of this procedure. 14,15 Currently, the majority of studies have evaluated the associated dimensional changes around teeth, reporting that FGG undergoes a shrinkage rate between 12% and 45% over a 3-to 6-month follow-up period. [16][17][18][19][20] Currently, there is limited evidence evaluating the dimensional changes of FGG at implant sites.…”
Section: Introductionmentioning
confidence: 99%
“…The most common donor site for soft tissue grafts in the oral cavity is the hard palate and tuberosity (Ioannou et al, 2015). Attached keratinized mucosa, palatal to the maxillary premolars, is used to harvest full‐epithelialized free grafts or subepithelial connective tissue grafts for plastic surgery for oral and periodontal soft tissue augmentation procedures (Raetzke, 1985; Seibert, 1983; Sullivan, 1968; Zucchelli et al, 2020).…”
Section: Introductionmentioning
confidence: 99%