Partly Deepithelialized Free Gingival Graft for Treatment of Lingual Recession

Abstract

IntroductionGingival recession (GR) is an unhealthy root exposure that could result in sensitivity, abrasion, root caries and higher chance of plaque collection. The prevalence of GR is higher on the facial surfaces but could also affect the lingual tooth surfaces. Despite the etiology and location of GR, treatment is warranted to improve the long‐term periodontal stability around the affected teeth. This case report describes the use of partly deepithelialized free gingival graft (PE‐FGG) to augment lingual GR post orthodontic treatment.Case PresentationThe current report evaluates the results of PG‐FGG to correct lingual recession in a 21‐year‐old female. The patient presented with 5 mm lingual recession on a previously orthodontically rotated tooth (#21). The recession was treated using a PE‐FGG to increase keratinized gingiva (KG) and reduce root exposure. Follow‐up at 24 months showed adequate root coverage and KG.ConclusionThe use of PE‐FGG can be used to enhance KG for lingual recession with adequate root coverage.

Submerged Technique of Partially De-Epithelialized Free Gingival Grafts for Gingival Phenotype Modification in the Maxillary Anterior Region: A Case Report of a 34-Year Follow-up

“…De-epithelialized free gingival grafts have been used to increase the width of keratinized tissue or cover denuded root surfaces [9][10][11]. These techniques typically leave an epithelial layer in the coronal portion of the free connective tissue graft.…”