Connective Tissue Graft for Gingival Recession Treatment: Assessment of the Maximum Graft Dimensions at the Palatal Vault as a Donor Site

Abstract

Our findings suggest that the maximum available tissue graft as measured in the palatal vault was large enough to allow a safe withdrawal from this donor site in a high percentage of our patient population free of periodontal disease.

Histomorphometric analysis of the phenotypical differentiation of recruited macrophages following subcutaneous implantation of an allogenous acellular dermal matrix

“…The quantity and quality of tissue that can be retrieved depends on the shape of the palatal vault, the patient's sex and age. The location of the palatal vessels and nerves limits the amount of tissue available for grafting 18 . An analysis of plaster casts revealed the average dimension of a FGG or SCTG to be 14.7 AE 2.9 mm  31.7 AE 4.0 mm 18 .…”

Assessment of Thickness of Palatal Masticatory Mucosa and Maximum Graft Dimensions at Palatal Vault Associated with Age and Gender – A Clinical Study

“…Monnet-Corti et al, [7] measured the height of the palatal vault donor site, which ranged from 12.07 ± 2.9 mm at the midpalatal aspect of canine to 16.2 ± 2.2 mm at the interproximal aspect, between the second premolar and first molar. The second premolar and the second molar areas showed the greatest height.…”

“…Palatal tissue thickness shows intra-individual and inter-individual variations in height, length [7] and thickness [8][9][10]. A graft of adequate dimension is required for obtaining ideal results.…”

“…The other advantages are, its predictability; colour match of the connective tissue grafts with the adjacent tissue and minimal adverse palatal post operative squealae if there are any. The main disadvantages of this graft are, limited amount of tissue being available to make the graft and also, potential risk of damaging the GPA (GPA) due to variations in the anatomy of the palatal vault [7]. A free gingival grafting can also cause unpredictability and infrequent side effects like exostoses [13,14].…”

Root coverage comparing acellular dermal matrix to connective tissue graft using the coronally positioned tunnel technique.

“…These measurements were taken in the premolars and molars area. Not long after Reiser's study, Monnet-Corti et al (2006) wanted to study the maximum graft dimensions that could be taken from the palatal vault in terms of height and length in relation to the GPB. They took plaster impressions from 198 patients free of periodontal disease and took measurements from the mid-palatal aspect of the canine to the mid-palatal aspect of the second molar.…”