The Use of an Autogenous Free Gingival Graft in the Combined Orthodontic and Periodontal Management of a Buccally Ectopic Maxillary Canine

1987 ◽  
Vol 14 (3) ◽  
pp. 155-160 ◽  
Author(s):  
Steven P. Jones
Keyword(s):  
Maxillary Canine ◽  
Aesthetic Result ◽  
Free Gingival Graft ◽  
Attached Gingiva ◽  
Gingival Graft ◽  
Good Aesthetic Result

A case is reported in which an unerupted maxillary canine, situated buccally above the level of the mucogingival junction, was exposed surgically in conjunction with a free gingival graft. Alignment was achieved using the edgewise appliance. An adequate width of attached gingiva was maintained out of retention, with a good aesthetic result. The problems associated with radical exposure of buccally misplaced teeth are discussed.

The effect on the formation of keratinized attached gingiva using free gingival graft with strip technique

2006 ◽  
Vol 36 (2) ◽  
pp. 305
Author(s):  
Dong-Yeol Lee ◽  
Young-Hyuk Kwon ◽  
Joon-Bong Park ◽  
Yeek Herr ◽  
Jong-Hyuk Chung
Keyword(s):  
Free Gingival Graft ◽  
Attached Gingiva ◽  
Gingival Graft

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

2020 ◽  
Author(s):  
Mahsa Jalali ◽  
Moein Saeedi ◽  
Mohammad Mohammadi ◽  
Hadi Ranjbar ◽  
Mohadeseh Arab Solghar
Keyword(s):  
Correlation Coefficient ◽  
Repeated Measures ◽  
Pearson Correlation ◽  
Correlational Study ◽  
Pearson Correlation Coefficient ◽  
Free Gingival Graft ◽  
Probing Depth ◽  
Attached Gingiva ◽  
Dimensional Shrinkage ◽  
Gingival Graft

Abstract 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

Operculum from Erupting Third Molar: An Alternative Donor Site for an Epithelialised-Free Soft-Tissue Autograft

2019 ◽  
Vol 3 (2) ◽  
pp. 75-77
Author(s):  
Harish Kumar Shah ◽  
Sanjeev Shrestha ◽  
Shivalal Sharma ◽  
Pujan Acharya
Keyword(s):  
Case Report ◽  
Donor Site ◽  
Third Molar ◽  
Tissue Loss ◽  
Root Coverage ◽  
Hard Tissue ◽  
Free Gingival Graft ◽  
Attached Gingiva ◽  
Alternative Donor ◽  
Gingival Graft

Gingival augmentation technique is used to increase the thickness of attached gingiva and arresting the progress of recession. Autogenous epithelialised free gingival graft obtained from palate is a well-established periodontal plastic procedure for root coverage and increasing the width of attached gingiva. This case report shows augmentation of attached gingiva from operculum of erupting third molar as an alternative donor site in marginal tissue recession not extending beyond the mucogingival junction with soft and hard tissue loss interdentally of 31 and 41 in a 20-year-old female.

scholarly journals Is preoperative vestibular depth a factor affecting shrinkage of free gingival graft: A quasi-experimental study

2020 ◽  
Author(s):  
Mahsa Jalali ◽  
Moein Saeedi ◽  
Mohammad Mohammadi ◽  
Hadi Ranjbar ◽  
Mohadeseh Arab Solghar
Keyword(s):  
Experimental Study ◽  
Clinical Trials ◽  
Clinical Parameters ◽  
Free Gingival Graft ◽  
Probing Depth ◽  
Attached Gingiva ◽  
Graft Area ◽  
Quasi Experimental ◽  
The Difference ◽  
Gingival Graft

Abstract Background The purpose of the present study was to evaluate the effect of preoperative vestibular depth (VD) on FGG dimensional shrinkage.Methods This study was performed on 20 patients with insufficient attached gingiva width (AGW). Under local anesthesia, a partial thickness bed with submarginal 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 1, 3, and 6 months postoperatively. Because the distribution of data was normal, t-test and repeat measurement test were performed to analyze the data.Results 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). 6 months after surgery, KGW and AGW were 6.95±0.89 mm and 5.62±0.88 mm in patients with baseline VD <9mm, and 8.57±0.53 mm and 7.07±0.34 mm in patients with baseline VD ≥9 mm respectively. The difference of postoperative KGW and AGW between these two groups (based on baseline VD) was statistically significant. (P <0.01, P =0.001 respectively). The decrease in KGW and AGW in patients with VD <9 mm was 1.62 and 1.45 mm respectively after 6 months and this decrease was greater than patients with VD ≥9 mm.Conclusions It was concluded that the shrinkage of FGG was significantly greater in patients with less preoperative VD 6 months after surgery.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

Free Gingival Graft Immobilization: A Pilot Study on a Newly Designed Stent

2010 ◽  
Vol 36 (2) ◽  
pp. 123-130 ◽  
Author(s):  
Ali Hassani ◽  
Roozbeh Sadrimanesh ◽  
Seyed Aliakbar Vahdati ◽  
Pooyan Sadr-eshkevari
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Management ◽  
Oral Rehabilitation ◽  
Recipient Site ◽  
Free Gingival Graft ◽  
Attached Gingiva ◽  
Edentulous Mandible ◽  
Edentulous Patients ◽  
Gingival Graft

Abstract The presence of adequate gingiva with firm attachment to the underlying periosteum and bone is important for the overall long-term success of implant-supported oral rehabilitation. In the presence of an atrophic edentulous mandible, peri-implant soft tissue management is a challenging task. Therefore, mucosal grafts are sometimes necessary in patients with insufficient attached gingiva around abutments. Immobilization of this graft is mandatory for its survival. The study design included 5 edentulous patients with inadequate attached gingival zone, all candidates for implant surgery and free gingival graft. In the first surgery the implants were inserted, and in the second operation a free gingival graft was obtained from the palate and sutured to the mandibular site. A newly designed stent was applied for the stabilization of the graft. Two to 3 weeks after the second surgery, the stents were removed and the attached gingival width was measured. Long-term evaluations were performed to follow the survival of the graft. All grafts were intact at the time of stent removal. In all cases, the long-term evaluations revealed adequate attached gingiva around the implant. It may be concluded that immobilization of free gingival graft in the recipient site increases its success rate and its survival rate. The application of the newly designed stent can serve as a proper and easy immobilizer for peri-implant soft tissue management.

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