Free Gingival Graft to Increase Keratinized Mucosa after Placing of Mandibular Fixed Implant-Supported Prosthesis

Marín, Danny Omar Mendoza; Leite, Andressa Rosa Perin; Nícoli, Lélis Gustavo; Marcantonio, Cláudio; Compagnoni, Marco Antônio; Marcantonio, Élcio

doi:10.1155/2017/5796768

Cited by 8 publications

(12 citation statements)

References 17 publications

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“…The free gingival graft technique is a successful and predictable technique implemented for many years to promote keratinized gingiva augmentation, which prevents both hard and soft tissue problems after implant rehabilitation. [567]…”

Section: Discussionmentioning

confidence: 99%

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

Imano

Cunha

Storrer

et al. 2019

J Indian Soc Periodontol

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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.

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Section: Discussionmentioning

confidence: 99%

“…Beginning in the mid-1960s,[1] free gingival grafts have been the optimal technique for increasing vestibule extension and keratinized tissue width, demonstrating a reliable clinical procedure. [234567]…”

Section: Introductionmentioning

confidence: 99%

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

Imano

Cunha

Storrer

et al. 2019

J Indian Soc Periodontol

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“…The maintenance of the health of the peri-implant soft tissue is necessary to the longevity of dental implants [23] and dentures [24]. The healing of soft tissues after implant surgery results in the establishment of a border tissue composed of either keratinized or non-keratinized mucosa [25].…”

Section: Discussionmentioning

confidence: 99%

“…A limitation of the technique is that it involves two surgical sites and causes morbidity at both sites. However, adequate medication and follow-up during the first two weeks of the post-operative period can minimize the occurrence of such morbidity [24]. The anatomic properties of the palatal donor region also affect the revascularization and stability of the dimension of the graft.…”

Section: Discussionmentioning

confidence: 99%

Prosthetic Rehabilitation in Older Adult with Free Gingival Graft: Case Report

Nunes¹,

Nunes²,

Filho³

et al. 2019

int arch med

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Aim: The aim of the present study was to perform the clinical evaluation of the thickness of the soft tissue around dental implants using a free gingival graft obtained from the palate. Background: Rehabilitation in elderly patients improves physiological functions and quality of life, and when this rehabilitation involves a surgical stage, it becomes a challenge, even for more experienced surgeons. Methods: a 64-year-old, white, female patient with a complaint of difficulty chewing and discomfort stemming from her dental status. Rehabilitation was proposed involving a multidisciplinary approach to reestablish esthetics, function and wellbeing. For such, 4.1 Bone Level Tapered® implants were installed. During the presurgical preparation, a free gingival graft was planned to increase the gingival area using the Miller technique. After establishing the suitability of the oral environment, impressions were made in alginate for the fabrication of an acrylic surgical stent to protect the donor site on the hard palate and minimize the morbidity of the surgical intervention. Conclusion: In the case reported, the increase in the gingival tissue using a free gingival graft provided satisfactory peri-implant health in an older patient throughout annual follow-up for 15 years.

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“…FGG is the most common technique to increase keratinized and attached gingiva width (9,10). Palatal mucosa is the most common site for FGG preparation, because of the close histologic resemblance to keratinized gingiva (11)(12)(13).…”

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 to Increase Keratinized Mucosa after Placing of Mandibular Fixed Implant-Supported Prosthesis

Cited by 8 publications

References 17 publications

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

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

Prosthetic Rehabilitation in Older Adult with Free Gingival Graft: Case Report

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

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