Free gingival graft: An effective technique to create healthy keratinised gingiva

Nettem, Sowmya; Nettemu, Sunil Kumar; Singh, Vijendra Pal; Nayak, Sangeeta Umesh

doi:10.5958/2347-6206.2018.00006.7

Cited by 4 publications

(5 citation statements)

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“…Free gingival grafts (FGGs) serve as a common periodontal surgery technique to address gingival recession issues and enhance keratinized tissue around natural teeth and dental implants (1,2) . FGGs have been recognized as an effective and consistent treatment option for various mucogingival defects, leading to better clinical results, aesthetics, and patient comfort (3) .…”

Section: Introductionmentioning

confidence: 99%

Gingival Recession Treatment by Free Graft Fixed with Silk Sutures vs Vicryl Plus

EL SHARAKI

2023

Al-Azhar Assiut Dental Journal

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Aim: This study aimed to compare the clinical outcomes of free gingival grafts (FGGs) stabilized by silk sutures and Vicryl Plus sutures in the treatment of gingival recession in periodontal surgery Subjects and methods: A total of 60 patients with gingival recession were randomly allocated into two groups: FGGs fixed using silk sutures (n=30) and FGGs fixed using Vicryl Plus sutures (n=30). Graft healing, infection rates, and patient-reported outcomes (pain, comfort, and satisfaction) were assessed at one week, one month, and three months postoperatively. Results: At the three-month follow-up, the Vicryl Plus sutures group demonstrated significantly better graft healing compared to the silk sutures group (p < 0.05). The infection rates were significantly lower in the Vicryl Plus sutures group at all follow-up time points (p < 0.05). Patients in the Vicryl Plus sutures group reported lower pain levels, greater comfort, and higher satisfaction with the surgical outcomes compared to the silk sutures group (p < 0.05). Conclusion: FGGs stabilized by Vicryl Plus sutures resulted in improved clinical outcomes compared to those fixed with silk sutures, including better graft healing, lower infection rates, and superior patient-reported outcomes. Vicryl Plus sutures may be considered a more favorable option for FGG fixation in periodontal surgery.

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Section: Introductionmentioning

confidence: 99%

Gingival Recession Treatment by Free Graft Fixed with Silk Sutures vs Vicryl Plus

EL SHARAKI

2023

Al-Azhar Assiut Dental Journal

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Section: Introductionmentioning

confidence: 99%

“…A free gingival graft (FGG) is a periodontal surgical procedure utilized to create vestibular depth and widen the zone of the keratinized tissue, and was one of the first procedures used to treat gingival recession as well [ 1 , 2 ]. The importance of this procedure is to mainly increase the amount of attached tissue, which in turn increases the patient’s ability to clean and remove plaque, leading to a reduction in gingival inflammation and, in addition, to improve aesthetics [ 2 ]. As any other surgical periodontal procedure, the FGG has some challenges such as the need for a second surgical area (donor site) and the necessity of proper suturing, which may cause some inconvenience to the patient and sloughing to the graft due to vasoconstriction and the loss of a proper blood supply to the graft, especially when applied under tension [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Comparison of Polymeric Cyanoacrylate Adhesives with Suturing in Free Gingival Graft Stability: A Split Mouth Trial

et al. 2021

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The aim is to compare the use of Cyanoacrylate adhesives (CAA) to the conventional suturing technique in terms of free gingival grafts (FGG) stability and healing in lower anterior and premolar regions. A split mouth design was initiated on 22 participants. Each side (from 2nd premolar to central incisor) was randomized to either the control or test groups. In the control group, sutures were used to stabilize the FGG, while, in the test group, the FGG was stabilized with butyl-cyanoacrylate. Full-periodontal clinical parameters were employed to assess the periodontal health. FGG-related parameters assessed included the keratinized tissue width (KTW), gingival tissue thickness (GTT), FGG shrinkage% and pain using the VAS score. No significant differences in the mean values of the KTW nor FGG shrinkage% across six time points (p < 0.05) were observed, whereas highly significant differences in the mean values of GTT across six time points (F = 3.32; p = 0.008) were observed. The use of CAA in FGG stability and healing is comparable to conventional suturing for soft tissue grafts in terms of success outcomes. With its cost effectiveness, lesser time consumption, post-operative pain and comparable graft stability and dimensions, the use of CAA may be a promising alternative for conventional and microsurgical techniques for the stabilization of FGG in the oral cavity.

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“…However, existing literature has not documented minimal attached gingiva width to maintain periodontal health. An increase in attached gingiva width is required in cases of the inadequate attached gingiva, especially in orthodontic or prosthetic treatments, better plaque removal from the gingival margin, and aesthetic improvement (3)(4)(5)(6)(7)(8).…”

Section: Introductionmentioning

confidence: 99%

Is there a correlation between vestibular depth and shrinkage of free gingival graft: A descriptive-correlational study

Jalali

Saeedi

Mohammadi

et al. 2020

Preprint

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Background: The purpose of the present study was to evaluate the correlation of vestibular depth (VD) with Free Gingival Graft (FGG) dimensional shrinkage.Methods: This study was a descriptive-correlational study which was performed on twenty patients with insufficient attached gingiva width (AGW). Under local anesthesia, a partial thickness bed with sub-marginal incision was created. An FGG was prepared from the palate and sutured to the prepared bed. Clinical parameters including VD, probing depth (PD), keratinized gingiva width (KGW), AGW, vertical graft dimension (VGD), horizontal graft dimension (HGD) and graft area (GA) were evaluated preoperatively and after one, three, and six months postoperatively. The distribution of data was normal. Repeated measures ANOVA, Repeated measures with covariance, Pearson correlation coefficient and linear regression were performed to analyze the data.Results: One patient was excluded from the study, therefore, the obtained data of 19 remaining patients were analyzed. Six months after FGG surgery, AGW and KGW raised to 6.15±1.01 mm and 7.55±1.1 mm, which were statistically significant (p <0.001). The shrinkage rate of HGD, VGD, and GA were 13%, 34%, 42% respectively after 6 months. The VD was increased 2.05 mm compared to baseline which was statistically significant (p<0.01). Pearson correlation coefficient showed that there was a statistically significant correlation between VGD shrinkage (r=-0.614, p=0.005) and GA shrinkage (r=-0.476, p=0.039) with VD. The correlation of Horizontal shrinkage with VD was not statistically significant (r=0.065, p=0.792).Conclusions: It was concluded that the shrinkage of FGG was influenced by VD and a negative moderate correlation was existed between VD and shrinkage of VGD and GA. Trial registration: This study was retrospectively registered by Iranian Registry of Clinical Trials (IRCT) with the number: IRCT20101204005305N18. Registered 22 September 2019. https://irct.ir/trial/41736

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Free gingival graft: An effective technique to create healthy keratinised gingiva

Cited by 4 publications

References 0 publications

Gingival Recession Treatment by Free Graft Fixed with Silk Sutures vs Vicryl Plus

Gingival Recession Treatment by Free Graft Fixed with Silk Sutures vs Vicryl Plus

Comparison of Polymeric Cyanoacrylate Adhesives with Suturing in Free Gingival Graft Stability: A Split Mouth Trial

Is there a correlation between vestibular depth and shrinkage of free gingival graft: A descriptive-correlational study

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