Free Gingival Graft: A Viable Surgical Option for Treating Mandibular Anterior Thin Gingival Phenotype and Gingival Recession
DOI:
https://doi.org/10.33102/mjosht.v10i1.377Keywords:
Free gingival graft, gingival recession, periodontal plastic surgery, root coverageAbstract
Thin gingival phenotype and thin labial plate bone morphotype predispose lower anterior teeth to gingival recession. Free gingival graft has become one of the periodontal plastic surgeries of choice in dealing with aesthetic demand, impaired hygiene care, and dentin hypersensitivity secondary to the gingival recession. The prognosis of free gingival graft as a single augmentation procedure for root coverage is usually good and predictable with proper post-surgery care and maintenance. In this case report, a 28-year-old female patient having gingival recession that was associated with interproximal attachment loss less than to the buccal site, limited keratinised tissues, and thin gingival phenotype in relation to teeth 31 and 41 that was treated using autogenous graft which harvested from hard palate mucosa with satisfactory postoperative results.
Downloads
References
S. Jepsen, J.G. Caton, J.M. Albandar, N.F. Bissada, P. Bouchard, P. Cortellini, K. Demirel, M. de Sanctis, C. Ercoli, J. Fan, N.C. Geurs, F.J. Hughes, L. Jin, A. Kantarci, E. Lalla, P.N. Madianos, D. Matthews, M.K. McGuire, M.P. Mills, P.M. Preshaw, M.A. Reynolds, A. Sculean, C. Susin, N.X. West, K. Yamazaki, Periodontal manifestations of systemic diseases and developmental and acquired conditions: Consensus report of workgroup 3 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions, J Periodontol 89 Suppl 1 (2018) S237-s248.
J. Kan, T. Morimoto, K. Runcharassaeng, P. Roe, D. Smith, Gingival Biotype Assessment in the Esthetic Zone: Visual Versus Direct Measurement, The International journal of periodontics & restorative dentistry 30 (2010) 237-43.
D.M. Kim, S.H. Bassir, T.T. Nguyen, Effect of gingival phenotype on the maintenance of periodontal health: An American Academy of Periodontology best evidence review, J Periodontol 91(3) (2020) 311-338.
D. Mostafa, N. Fatima, “Gingival Recession And Root Coverage Up To Date, A literature Review”, Dentistry Review 2(1) (2022) 100008.
R.V. Kumar, S. Biswas, S.K. Nair, M. Kotha, B. Shivaprasad, Free Gingival Graft: A Surgical Boon for Receding Gums, Journal of Health Sciences & Research 5(2) (2014) 25-28.
F. Cairo, M. Nieri, S. Cincinelli, J. Mervelt, U. Pagliaro, The interproximal clinical attachment level to classify gingival recessions and predict root coverage outcomes: an explorative and reliability study, J Clin Periodontol 38(7) (2011) 661-6.
G. Zucchelli, I. Mounssif, Periodontal plastic surgery, Periodontol 2000 68(1) (2015) 333-68.
M.S. Yildiz, S. Gunpinar, Free gingival graft adjunct with low-level laser therapy: a randomised placebo-controlled parallel group study, Clin Oral Investig 23(4) (2019) 1845-1854.
K. Balasubramanian, L.M. Arshad, B.D. Priya, Reconstruction of pink esthetics: The periodontal way, Contemp Clin Dent 6(1) (2015) 84-7.
L. Goyal, N.D. Gupta, N. Gupta, K. Chawla, Free Gingival Graft as a Single Step Procedure for Treatment of Mandibular Miller Class I and II Recession Defects, World J Plast Surg 8(1) (2019) 12-17.
G. Zucchelli, L. Tavelli, M.K. McGuire, G. Rasperini, S.E. Feinberg, H.L. Wang, W.V. Giannobile, Autogenous soft tissue grafting for periodontal and peri-implant plastic surgical reconstruction, J Periodontol 91(1) (2020) 9-16.
M. Saglam, S. Koseoglu, Treatment of localised gingival recessions with free gingival graft, European Journal of General Dentistry 1 (2012) 10.
M. Terenzi, S.C. Pigossi, L.C. Pires, J.A. Cirelli, J.E. Sampaio, Modified approach for keratinised tissue augmentation in multiple teeth, J Indian Soc Periodontol 21(6) (2017) 512-516.
P. Lele, Gingival Recession Coverage Using Free Gingival Autograft- A Case Report, IOSR Journal of Dental and Medical Sciences 8 (2013) 47-50.
C.F.J. Stappert, D. Romeo, Soft Tissue Enhancement after Implant Placement, Implant Site Development2015, pp. 361-382.
W.A. Janson, M.P. Ruben, G.M. Kramer, A.A. Bloom, H. Turner, Development of the Blood Supply to Split-Thickness Free Gingival Autografts, Journal of Periodontology-Periodontics 40(12) (1969) 707-716.
A.W. Gargiulo, R. Arrocha, Histo-clinical evaluation of free gingival grafts, Periodontics 5(6) (1967) 285-91.
R.C. Oliver, H. Löe, T. Karring, Microscopic evaluation of the healing and revascularisation of free gingival grafts, Journal of Periodontal Research 3(2) (1968) 84-95.
B.V. Srinivas, N. Rupa, K.V. Halini Kumari, S.S. Prasad, U. Varalakshmi, K. Sudhakar, Root coverage using subepithelial connective tissue graft with platelet-rich plasma in the treatment of gingival recession: A clinical study, J Pharm Bioallied Sci 7(Suppl 2) (2015) S530-8.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Rusmizan Yahaya, Muhammad Adib Ali, Muhammad Annurdin Sabarudin
![Creative Commons License](http://i.creativecommons.org/l/by/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution 4.0 International License.
The copyright of this article will be vested to author(s) and granted the journal right of first publication with the work simultaneously licensed under the Creative Commons Attribution 4.0 International (CC BY 4.0) license, unless otherwise stated.