Efficacy of free gingival graft in the treatment of Miller Class I and Class II localized gingival recessions: A systematic review

Abstract

Background:Currently, the leading theme in mucogingival surgery is the correction of gingival recession defects. Free gingival graft (FGG) has been successfully in use in this category of reconstructive therapeutic modality.Objectives:The aim of this systematic review was to evaluate the literature with respect to efficacy of FGG in the management of Miller Class I and II localized gingival recessions.Data Sources:Search strategies were performed via electronic database which included Pubmed-Medline, Google scholar and manual search using University library resources. Two reviewers assessed the eligibility of the studies.Study Eligibility Criteria:Controlled clinical trials, randomized clinical trials and longitudinal studies evaluating recession areas treated by FGG with minimum of 6 months follow up were included. In-vitro and animal studies, studies mainly done on Miller Class III and IV gingival recession defect, studies on multiple gingival recessions and case series and case reports were excluded from the search.Results:The electronic and manual search identified a total of 557 articles. A final screen consisted of 39 articles out of which 17 articles were selected for full-text assessment. Finally, 7 articles were selected for detailed evaluation for this systematic review. FGG has shown significant results in all the studies except for one study.Conclusion:FGG produces substantial results, however, highly depends on the case selection and operator's skill and experience. FGG gives an impression of being the best alternative option in zones where gingival recession presents with inadequate width of attached gingiva and depth of vestibular fornix.

Gingival Recession Treatment: Surgery and Chemical Compounds

“…However, good results were obtained using this technique in regard to the coverage degree. Holbrook and Ochsenbein obtained a complete recession coverage in 44% of cases; Miller obtained a coverage of 92.15% for 79 recessions, with similar results obtained also by Michaelides and Wilson: 96% recession coverage for 26 recessions from 27 included in the study [17]. https://doi.org /10.37358/Rev.…”

Age-Related Palatal Wound Healing: An Experimental In Vivo Study

“…The surgical treatment of gingival recession is a popular surgical procedure in the periodontal armamentarium, with the free soft tissue graft being one of the most popular [ 1 ]. Apart from the intra-oral applications, free gingival grafts are successfully used in several medical specialties, such as otolaryngology [ 2 , 3 ], ophthalmology [ 4 ], dermatology, and plastic surgery [ 5 , 6 ].…”

“…The free gingival graft (FGG) palatal wound will usually heal within 2–4 weeks [ 10 ], despite the denuded palate. The main advantage of FGG is the ease of performance and large volume of soft tissue acquired [ 1 ].…”

Use of Mucograft Collagen Matrix® versus Free Gingival Graft to Augment Keratinized Tissue Around Teeth: A Randomized Controlled Clinical Trial

“…Despite the controversy about the need for a certain amount of keratinized gingiva around teeth, gingival augmentation is required when patients have difficulty in removing dental plaque at the gingival margin, in cases of subgingival restoration, and for aesthetic reasons [15]. According to the literature, to date, FGG is the best method to treat inadequate keratinized tissue [16] but it still has some disadvantages and limitations. The major limitation is the need for a second surgical site as a donor, which is most commonly the hard palate [17].…”