Free gingival graft indications

Gingival/ Gum Grafting Sugar Land, Tx 77479 | Smiles On

Some of my friends never do free gingival grafts [FGG]. Everything is treated with a CT [connective tissue] graft and an overlying flap. I'm a fan of free grafts. Here is a case where I think a free graft is indicated. Notice that there is not a tremendous amount of kera-tinized gingiva [KG] at the adjacent teeth for a lateral pedicle. And ther The free gingival graft is a simple, predictable technique for increasing the zone of attached gingiva. Dentists interested in performing minor surgical procedures should include the free gingival graft in their armamentarium The free gingival graft is a simple, predictable technique for increasing the zone of attached gingiva. Dentists interested in performing minor surgical procedures should include the free gingival..

  1. Free Gingival Grafts Free Gingival Grafts are designed to reinforce your gums in weak and receding places. If you have receding gums, there is a chance that you could lose a tooth since your gums help hold them in place. Your gums also help cover the roots of your teeth to protect them from infection and exposure to open air
  2. The treatment of a gingival recession defect with a pedicle flap can result in the formation of a long junctional epithelial attachment,15 whereas a free gingival graft may lead to some regeneration of cementum, bone and connective tissue attachment.16 Free gingival grafts are no longer justified to cover recession defects in the esthetic zone, given the resulting mismatch in colour and postoperative discomfort from the denuded palatal donor site
  3. free gingival graft with strip technique was chosento obtain augmentation of the gingiva and increase of thevestibule depth on the whole frontal area. The recipient areawas prepared with a split thickness flap which was fixedapical with periosteal sutures. The donor palatal tissue wasdivided longitudinally and fixed in the recipient area andcovered with hard periodontal dressing
  4. The free gingival graft (FGG) is a surgical procedure frequently used in periodontics to increase the amount of keratinized tissue surrounding a tooth or a dental implant. Keratinized tissue plays a major role (around teeth and dental implants), helping to maintain and facilitate oral hygiene
  5. The indications and predictability of the free gingival graft and connective tissue graft (CTG) techniques are highlighted, together with their expected clinical and esthetic outcomes. CTGs can be harvested from the maxillary tuberosity or from palate with different approaches that can have an impact on graft quality and patient morbidity

Why is gum graft surgery performed? Based on current dental practice with available data, there are three indications for gum graft surgery: · Root Exposure Related Problems- The patient cannot brush the exposed root surface; the dentist detects a lot of plaque and calculus on the root; or, there is the beginning of root decay.Gum graft surgery can be performed to cover and protect the root. soft tissue graft harvested from the palate with the over-lying epithelium is defined as the free gingival graft (FGG),and it was first introduced for increasing keratinized tissuedevelopmentally missing or lost.1The healing events and theprinciples affecting the outcomes of an FGG that has beenextensively investigated,7,8 may have contributed to thehigh predictability of this procedure. Several features wer Indications for Free Gingival Graft Increase of keratinized tissue adjacent to teeth, dental implants or edentulous ridges (the only graft). Coverage of certain type of gingival (gum) recessions. Other surgical techniques (i.e. coronally advanced flap) provide a better esthetic outcome for root coverage procedures

Free Gingival Graft: This procedure is indicated for narrow, isolated recession defects in nonesthetic areas. The palate serves as the donor for a free gingival graft that is placed on a deepithelialized recipient bed at the defect site. The survival of the graft depends on intimate contact between the donor tissue and vascular recipient bed The present investigation, therefore, indicates that, while the free gingival graft is an effective means to widen the zone of the attached and keratinized gingiva, there is no indication that this increase bears direct influence upon periodontal health Indications of periodontal plastic surgery To establish an adequate zone of attached gingiva to facilitate proper oral hygiene maintenance and prevent further recession. Before coronal positioning of a graft and/or for restorative considerations, particularly if the restorative margins will be placed subgingivally. To increase vestibular depth

Different Types of Gingival Grafting Explained Holzinger, C

  1. What are the indications for gum grafting? Connective Tissue Grafts (CT Graft) Free Gingival Grafts (FGG) How are gum grafts done? What type of healing can I expect? Post-operative care for my graft? WHAT ARE THE INDICATIONS FOR GUM GRAFTING? The fact that you have gum recession does not necessarily mean you need or are even a candidate to have.
  2. A free gingival graft is a dental procedure where a small layer of tissue is removed from the palate of the patient's mouth and then relocated to the site of gum recession. It is sutured (stitched) into place and will serve to protect the exposed root as living tissue. The donor site will heal over a period of time without damage
  3. Nabers first used the term free gingival graft (FGG). Autogenous grafts are mainly harvested from the palate. FGG is nowadays less frequently used for the treatment of gingival recessions. It has high predictability of post-operative tissue stability and graft survival
  4. For non-root coverage procedures, only the changes in KT could be analyzed; all investigated treatment groups (ADM, CM, free gingival graft [FGG], living cellular construct [LCC], in combination with an apically positioned flap [APF]), resulted in significantly more KT than treatment with APF alone. Additionally, the augmented GT was shown to.
  5. anatomical factors free gingival graft could be a procedure of choice in treatment of recession defects. Moreover, in Indian scenario, gingiva of the patient is characterized by high melanin pigmentation and better level of esthetics can be achieved by free gingival graft.14 In this study, free gingival graft as a single step procedur

Free gingival graft adjunct with low-level laser therapy: a randomized placebo-controlled parallel group study. Yildiz MS, Gunpinar S. Clin Oral Investig, 23(4):1845-1854, 14 Sep 2018 Cited by: 3 articles | PMID: 3021822 Indications for treatment of gingival recession Despite the wide prevalence of gingival recession, their occurrence is not so detrimental to the longevity of the teeth. Most of the patients will be able to retain their teeth if further loss of attachment can be prevented by proper plaque control Maynard and Ochsenbein (1975) stated that autogenous free gingival graft can be recommended as an acceptable procedure prior to tooth movement, where orthodontic therapy is anticipated and insufficient keratinized tissue exists. According to the authors, grafts can be recommended in patients with 1mm or less of keratinized tissue first reported after free gingival grafting9 and was later reported to occur after connective tissue grafting with partial-thickness double pedicle.10 In the case reported here, creeping attachment occurred with the subepithelial connective tissue harvested from the tuberosity area, and this im

Gingival Graft - an overview ScienceDirect Topic

  1. um foil And place a soft perio pack. Remove the pack and the suture after one week. 24. B. suturing after rotation of the flap lip is retracted to immobilize the graft
  2. Gingival recession is the exposure of root surfaces due to apical migration of the gingival tissue margins; gingival margin migrates apical to the cementoenamel junction. Although it rarely results in tooth loss, marginal tissue recession is associated with thermal and tactile sensitivity, esthetic complaints, and a tendency toward root caries
  3. 1 - Before preparation of the flap the exposed root portion is cleaned with a scraper and is wiped with EDTA (or similar). 2 - After measuring the dimension of the recession defect using a periodontal probe, the incisions for raising the flap are cut. 3 - A split-full-split thickness flap is elevated and coronally mobilized. 4 - The area of the papillae is de-epithelialized to allow anchorage.

contraindications of free gingival grafts and connective tissue grafts will be given. Other soft tissue management covered will include incision design, partial vs. full thickness flaps, and along with indications and contraindications for each type of graft. Preventing and treating complications will also be covered. Techniques to be. Current indications of free gingival grafts Márcio Zaffalon Casati, Francisco Humberto Nociti Junior, Enilson Antonio Sallum, Mauro Pedrini Santamaria, Daniela da Silva Feitosa, Sérgio Toledo; Affiliations Márcio Zaffalon Casati Francisco Humberto Nociti Junior Enilson Antonio Sallum Mauro Pedrini Santamaria. gingival graft.[10] The free gingival graft was initially used to increase the amount of attached gingiva and extend the exposed root surfaces. Simple and highly predictable when used to increase the amount of attached gingiva, it is also quite versatile: it can also be used over an extraction socket or osseous graft.[4,5) INDICATIONS Free. [Free gingival grafts in muco-gingival surgery: presentation of clinical cases]. [Article in French] Matter J. Several indications of the free gingival graft have been reviewed. When utilized alone, this procedure allows to increase the height of the attached gingiva, to stabilize a recession or to prepare a sufficient zone of attached gingiva.

Retainde free gingival graft rugae. A 9­ year case report. J Periodontol 1999; 70(4): 438­40. 6. Camargo, Philip R. Melnick & E. Barrie Kenney. The use of free gingival grafts for aesthetic purposes. Perio­ dontology 2000, vol. 27, 2001, 72­96. 7. Dorfman H, Kennedy JE, Bird W. Longitudinal evaluation of free autogenous gingival graft. A 4. All patients received free gingival grafts, and the palate was the donor area. The patients were followed up to one year. After the healing period, all cases showed an increase of the queratinized gingival width and, in cases 1 and 2, a reduction in gingival recession Study Free Gingival Grafts flashcards from Rossana Cruciata's University at Buffalo class online, or in Brainscape's iPhone or Android app. Learn faster with spaced repetition. Indications for a free gingival graft. - Multiple areas of recession

3.1. Stage 1: Use of a Free Gingival Graft. The first step of the surgery used a free gingival graft (FGG) technique as given by Miller Jr. . The recipient site was prepared under local anesthesia. The outline of the graft was obtained using a tin foil template with number 15 BP blade. The FGG was harvested from palate (Figures 3 and 4) In contrast to the CTG, free gingival grafts (FGG) are rarely recommended for root coverage procedures because of the low predictability and poor aesthetic outcome. 81 The portion of a FGG placed on the denuded root surface does not have a good blood supply, and therefore, graft shrinkage or early necrosis may occur. 70 To overcome the low. When the frenum is the cause, a frenectomy is performed. This involves surgically releasing the frenum and moving it apically so it won't pull on the gum. A gingival graft can be performed to cover the area of recession. Most dental plans will not pay for a soft tissue graft and a frenectomy at the same session. Indications of root sensitivit This paper discusses the role of soft tissue grafting around dental implants. The aim of this review is to present pertinent literature on peri-implant soft tissue including its role, indications for augmentation, techniques used to enhance the quality and/or quantity of the soft tissue, and corresponding timing of those procedures. Most reviewed soft tissue grafting studies in this paper were. Free gingival graft Since the 1960s, the free gingival grafting technique has been the most predictable and popular method of increasing the band of keratinized tissue around teeth with mucogingival defects. Nabers,'' in 1966, oudined this technique; he suggested removal of the sulciilar epithelium, leaving the lamina propria intact. An inci

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eral to the gingival defect is not adequate, free graft proce-dures have to be performed. The use of free gingival grafts to treat recession defects in patients with esthetic requests is not recommended because of the poor esthetic outcome and the low root coverage predictability. The use of a pedicle flap t Donor sites of epithelialized free gingival grafts At harvesting sites of epithelialized free gingival grafts apply Straumann® Emdogain® on the complete wound area. If considered necessary, the wound area can be additionally covered with a col-lagen fleece or connective soft tissue graft substitute (e.g. muco-derm®) Free gingival graft: Your periodontist removes a small piece of tissue from the roof of your mouth and suture (stitch) it to the area that needs gum tissue. You'll likely get this type of graft. Free gingival grafts. Similar to a connective-tissue graft, free gingival grafts involve the use of tissue from the roof of the mouth. But instead of making a flap and removing tissue under the.

Is it time to retire the free gingival graft procedure in

Gingival grafts are cited in the proceedings from the American Academy of Periodontology (AAP) regeneration workshop as the gold standard for tissue augmentation. 9 Indications include stopping recession in nonesthetic areas, preventing recession around restorations when placed in areas of thin tissue (especially with intracrevicular margins. Free Gingival Auto-Grafts Indications • To increase keratinised tissue around teeth, implants or crowns. • To increase keratinised tissue under removable prostheses. • To increase vestibular depth. Disadvantages • Difficult to achieve root coverage. • High esthetic demand. • Large, uncomfortable donor site Free Gingival Graft Indication gingival grafts have been considered to be the method of choice. How Relevant is Graft Thickness? the minimum thickness of a gingival graft should range from 0.75 to 1.25 mm to ensure that the graft will have an adequate amount of connectiv Free grafts are an alternative to pedicle grafts and are the treatment of choice in areas where the gingival biotype is thin or there is a lack of keratinised tissue Indications for gingival augmentation-root hypersensitivity-zone of esthetic demands-when the triad of findings are combined: 1. gingival inflam, 2. progressive soft tissue recession, 3. no attached gingival The attached gingiva may be augmented first with a free gingival graft, then after complete healing a second stage procedure is.

Autogenous soft tissue grafting for periodontal and peri

Managing Patients with Gingival Graft Failure or Loss | jcda

INDICATIONS. mucoderm® can be applied as an alternative to autologous soft tissue transplants such as connective tissue graft (CTG) and free gingival graft (FGG) in certain indication in periodontology and implantology. The use of muocderm® is of particular advantage in situations where autologous transplants cannot be harvested in sufficient. Periodontal treatments that augment the ZAG originate from the 1950's when Friedman defined mucogingival defects and described denudation and pushback procedures for their correction. 14 In 1963, Bjorn described the first free gingival graft. 15 In that study, free gingival grafts were used to gain keratinized attached gingiva by deepening. The present article focuses on the properties and indications of scaffold-based extra-cellular matrix (ECM) technologies as alternatives to autogenous soft tissue grafts for periodontal and peri-implant plastic surgical reconstruction. The different pro-cessing methods for the creation of cell-free constructs resulting in preservation o

Indications Elimination of suprabony fibrous and firm pockets. Gingivectomy is the primary treatment method available in reducing the pocket depths of patients with periodontitis and suprabony pockets. In a retrospective comparison between different treatment approach to periodontitis management based on the initial and final gingival health, conventional gingivectomy was proven to be more. The so-called Free Gingival Graft (FGG) was shown to be the most effective procedure for gingival augmentation at sites with minimal amount of keratinized tissue. Great variability in terms of proportion of root coverage (range: 11% to 87%; mean: 63%) has been reported when applying this technique, however Pedicle Grafts: Coronally Advanced Flaps. Serge Dibart. HISTORY. Bernimoulin et al. (1975) first reported the coronally positioned graft succeeding grafting with a free gingival autograft. This was a two-stage procedure. In the first stage, a free gingival graft was placed apical to the margins of the recession to be treated What is gum graft surgery? Gum graft surgery (also called a gingival graft or periodontal surgery) covers exposed tooth roots caused by receding gums. Gum surgery protects teeth from the damaging effects of gum recession. It can also improve the.. Since esthetics represents an inseparable part of successful implant therapy, treatment of gingival recessions is an important topic to understand. An array of treatment options exists for treatment of gingival recession, such as a coronally advanced flap (CAF) combined with connective tissue graft (CTG)

Gum Graft Surgery: Success and Complication

Study Ultimate Guide flashcards from Tyler Brown's Ohio State University-Main Campus class online, or in Brainscape's iPhone or Android app. Learn faster with spaced repetition Free Gingival Graft vs Connective Tissue Graft in the Lower Incisors. In this series of three videos, Dr. Simon discusses the free gingival graft, which is a common and important procedure. He reviews a case sent to him by another dentist, involving a 23-year old female with a Miller Class II recession on the lower incisors Gingival and Connective Tissue Grafting Lecture/Hands-On Course June 28, 2019 Course overview. This course discusses and evaluates the use of two different soft tissue grafts. It includes detailed indications, contra-indications, and multiple case examples of Free Gingival and Connective Tissue grafts

Background. Soft tissue grafts, including pedicle grafts, free gingival grafts, subepithelial connective tissue grafts and combination procedures, are surgical procedures designed to increase the zone of keratinized tissue around the tooth root or implant, deepen the vestibule or eliminate prominent frenum involvements Indications and contraindications of free gingival grafts and connective tissue grafts will be given. Other soft tissue management covered will include incision design, partial vs. full thickness flaps, and various suturing techniques Free gingival graft sutured in place. The roots are covered to the level of the CEJ. Fig. 3. Clinical view at 4 months post-surgery. Normal appearance was established, with a significant increase of keratinized attached gingiva and a free gingival margin that is in harmony with the neigh-boring teeth Free gingival graft: This technique could be performed in periodontal treatments to achieve augmentation of the attached gingival and also for covering the denuded surfaces of the root. In the literature are presented few limitations of this technique such as the mal-alignment of mucogingival junction formation, the aesthetic mismatch, and the.

mucoderm® is a natural type I/III collagen matrix derived from porcine dermis that undergoes a multi-stage purification process, which removes all potential immunogens. The remaining matrix is a membrane that consists of collagen and elastin. mucoderm® promotes the revascularization and fast soft tissue integration and is a valid alternative to the patient's own connective tissue Free gingival graft Indications The free gingival graft can be effective in the management of the problems associated with localised recession.4,5 Specifically, it is indicated where the recession is in the mandibular dentition or the patient has a low smile. It is particularly useful wher Harvesting the free gingival graft from palate: The free gingival graft was harvested from the palate. The goal was to obtain a unform thickness graft approximately 0.75 to 1 mm thick. The amount of donor tissues needed was accurately determined by using a foil template. The template was made b commonly used free graft techniques include an epithelialised free gingival graft and a subepithelial connective tissue graft placed either with a pedicle flap, envelope technique or using a tunnelling technique. INTRODUCTION Gingival recession is defined as the apical displacement of the gingival margin from the cemento-enamel 1junction (CEJ). Th pared to a free gingival graft (Figures 7-11). Acellular Dermal Matrix Graft The acellular dermal matrix graft (AlloDerm) can be a substi-tute for donor connective tissue. It is recommended for use as a replacement for donor connective tissue, but it is not to be used as a substitute material for a free gingival graft. It is not appropriate for.

Free Gingival Graft: How to Increase Keratinized Tissue

Gingival clefting . Pedicle soft tissue Graft, Autogenous connective tissue Graft, non-Autogenous connective tissue Graft and combined Free soft tissue graft procedure (including donor site surgery), first tooth or edentulous tooth position in graft : D4278 Guided tissue regeneration membranes are being studied for this indication, however we have found that the resultant augmented tissues lack the character and qualities of normal attached gingiva. Free Gingival Grafts - These grafts employ the placement of palatal mucosa as donor material into the pre-prepared recipient site Soft Tissue Grafting Indications. Soft tissue grafting is indicated for treating teeth with gingival recession and for increasing the width and thickness of attached gingiva around teeth and implants. Gingival recession causes several problems for patients, including negatively affecting esthetics and causing root sensitivity

The following indications are based on an Osteology Workshop's recommendations for ARP. 6 ARP is used where tooth Free gingival grafts can be harvested with soft tissue punches of the. severe gingival inflammation, with or without pseudo-pockets but exhibiting no bone loss - this is the gap filled by D4346. b) Filling this gap will result in more accurate documentation and reporting by eliminating consideration of: • D4999 as this code requires a narrative containing information that limits auto-adjudicatio Indications for Treatment 7. Root Coverage Surgical Techniques 8. Preoperative Therapy 9. Root Surface Treatment 10. Amelogenins 11. Gingival Clefts 12. Associated Caries and Noncarious Cervical Lesions 13. Coronally Advanced Flap with Releasing Incisions 14. The Laterally Moved, Coronally Advanced Flap 15. Free Gingival Grafts 16. Two-Step. free gingival graft (PE-FGG) in the treatment of facial GR provides a better alternative to traditional FGG.16 While the literature mainly evaluates treatment of facial GR, treatment of lingual GR has its own challenges due to tongue position, speech, and adequately securing the graft.17 This case report describes the use of a partl

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Clinical Considerations for Root Coverage Procedures

graft in the treatment of gingival recession defects. j periodontol. december 2007, vol. 78, no. 12, pages 2348-2355. 15. Edel, A. Clinical evaluation of free connective tissue grafts to increase the width of keratinized gingiva. J Clin Periodontol. 1974;1:185-196. 16 Suggested indications for the use of PCs include enhancing soft- and hard-tissue regeneration, particularly as an adjunct to the use of other grafting materials. 5,6 Clinical research has focused on the use of PCs to improve outcomes in the treatment of intrabony periodontal defects, furcation defects, guided bone regeneration, and gingival. Free gingival graft is applied to cover the root surface with less amount of attached gingiva. 5.5 Free gingival grafts This graft is a harvested tissue and is completely removed from the blood donor area, and it is used to augment the amount of the attached (keratinized) gingiva A large free gingival graft, measuring 33 mm, was taken from the palate and sutured on the buccal aspect to provide an adequate zone of acceptable tissue. The tapabale abutment in position number 12, had to be over prepared to provide for path of insertion. Provided for a screw retained the prosthesis in position number 14 and 15 and used. The connective tissue graft: comparative clinical evaluation of wound healing at the palatal donor site. A preliminary study. J Clin Periodontol. 2002;29:848-854 59. Keceli HG, Aylikci BU, Koseoglu S. et al. Evaluation of palatal donor site haemostasis and wound healing after free gingival graft surgery. J Clin Periodontol. 2015;42:582-589 60

Clinical Assessment of Free Gingival Graft Effectiveness

Some indications you may need gum treatment could include: Receding gums: Gum recession occurs due to a variety of factors, including genetics and brushing habits. A classic symptom of recession involves tissue pulling away from the tooth, exposing the root surfaces. Free Gingival Graft. This type of tissue graft increases keratinized (hard. Surgical Therapies for the Treatment of Gingival Recession Louis F. Rose, DDS, MD. Dental therapy is increasingly directed at the esthetic outcomes for patients, which extend beyond tooth replacement and tooth color to include the soft tissue component framing the dentition. Certain indications, including esthetics, progression of the defect, hypersensitivity, or difficulties with oral hygiene.

Periodontal esthetic surgeries - periobasics

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Gingival grafting - Wikipedi

PPT - Periodontal Aesthetics PowerPoint Presentation - IDSoft Tissue Grafting – DrSoft tissue proceduresAttached gingiva and its significance

<i>Introduction</i>. This paper describes case reports where coronal growth of soft tissue on implant threads was observed after surgery for soft tissue graft. This phenomenon is known as creeping attachment. <i>Methods</i>. Two patients were submitted to gingival graft procedure including subepithelial connective tissue graft and masticatory mucosal graft. A two-year follow-up. Indications and Contraindications; Hands-on Learning Using; Pig Jaws and Anatomically Correct Models; Learn More. Soft Tissue Grafting. Featuring Free Gingival Grafts and Subepithelial Connective Tissue Grafts. Subepithelial Connective Tissue Grafts combine the most positive features of the free gingival and pedicle grafts BACKGROUND Subepithelial connective tissue grafts (CTGs) and free gingival grafts (FGGs) are common periodontal procedures with similar indications; however, they may differ regarding patient outcomes. Reports on postoperative periodontal patient outcomes are limited. The aim of this observational trial was to compare patient-based outcomes for CTGs and FGGs ‎This episode features Dr. Jyoti Sonkar. In this episode you'll learn the indications for soft tissue grafting. We'll also discuss what a free gingival graft vs a connective tissue graft. You'll also learn how to manage esthetic grafts. You'll also learn how to compare and contrast different graft m Difference between Gingival Grafts and Free Gingival Grafts; Role of grafts in obtaining predictable restorative results; The Gold Standard for soft tissue augmentation; Why we focus on FGG and CTG To Graft or Not to Graft decision tree: No recession present - do we graft? Recession is present - do we graft now