Clinical evaluation of free connective tissue grafts used to increase the width of keratinised gingiva

Abstract

Fourteen sites were chosen in eight subjects where pre‐operatively less than 2 mm of keratinised gingiva was present and associated with pocketing of less than 1.0 mm Three methods were used to provide gingival connective tissue for grafting which facilitated primary closure at the donor site. The pre‐operative width of keratinised gingiva was measured by means of a Williams probe from the gingival margin to the mucogingival junction to the nearest 0.5 mm. This was repeated immediately post‐operatively, and at 1, 2, 5, 10, and 12 weeks, and at 6 months. The results showed that a statistically significant increase in width of keratinised attached gingiva could be achieved with this method and the resultant tissue was histologically normal.

A Novel Esthetic Approach using Connective Tissue Graft for Soft Tissue Defect Following Surgical Excision of Gingival Fibrolipoma

“…A similar method of excision was done in our case to prevent the further recurrence of this lesion. CTG has been documented for managing soft tissue esthetics, for increasing the thickness of the soft tissue [6][7][8] and width of attached gingival [9]. In our case, the excision of the lesion led to a large soft tissue defect with only a minimal amount of keratinized gingiva and no attached gingiva, inorder to overcome this, a connective tissue graft was used.…”

Reconstruction of A Deformed, Partially Edentulous Ridge with A Free Gingival Onlay Graft- A Case Report

“…A certain amount of keratinized tissue has been considered necessary for maintaining periodontal health [3,4] .It was also concluded that for the maintenance of gingival health 2mm of keratinized gingiva is adequate [5] .Since an adequate amount of keratinized tissue is yet to be decided, the resolution to increase the width of keratinized gingiva still depends upon the preference of clinician. Historically, the methods to augment keratinized tissue included-1) an apically positioned flap (APF), 2) an APF in conjunction with autogenous tissue and, 3) an APF in conjunction with allogenic tissue [6][7][8] . Autogenous soft tissue grafting procedures have also been proposed to surgically correct localized alveolar deficiencies, as a preparation and development of the site during pre-prosthetic surgeries, and as ridge preservation procedures [9][10][11] .…”

Clinical Evaluation of Papilla Reconstruction Using Subepithelial Connective Tissue Graft

“…The graft was harvested just before the surgical detachment of the papilla to prevent the development of blood clot between the bone and connective tissue because blood clot might compromise the immediate blood supply to the graft and therefore can induce partial necrosis of the transplanted tissue as suggested by Carnio J [20]. The graft was harvested from palate using trap door technique by Edel A, [21] indicated when there is concern for underlying anatomy and need for larger amount of tissue. Trap door technique has advantage over the other techniques of having greater visibility, easiest to execute, and graft size is similar to the incision design (Liu CL and Weisgold AS) [22].…”