Submerged Technique of Partially De-Epithelialized Free Gingival Grafts for Gingival Phenotype Modification in the Maxillary Anterior Region: A Case Report of a 34-Year Follow-up

Author:

Park Won-Bae12,Park Wonhee3,Kang Philip4ORCID,Lim Hyun-Chang5ORCID,Han Ji-Young6ORCID

Affiliation:

1. Department of Periodontology, School of Dentistry, Kyung Hee University, Seoul 02447, Republic of Korea

2. Private Practice in Periodontics and Implant Dentistry, Seoul 02771, Republic of Korea

3. Department of Prosthdontics, Division of Dentistry, College of Medicine, Hanyang University, 222-1 Wangsimni-ro, Seongdong-gu, Seoul 04763, Republic of Korea

4. Division of Periodontics, Section of Oral, Diagnostic and Rehabilitation Sciences, College of Dental Medicine, Columbia University, New York, NY 10027, USA

5. Department of Periodontology, Periodontal-Implant Clinical Research Institute, School of Dentistry, Kyunghee daero 23, Dongdaemoon-gu, Seoul 02447, Republic of Korea

6. Department of Periodontology, Division of Dentistry, College of Medicine, Hanyang University, 222-1 Wangsimni-ro, Seongdong-gu, Seoul 04763, Republic of Korea

Abstract

A coronally advanced flap combined with a subepithelial connective tissue graft is considered the gold standard for achieving root coverage on exposed root surfaces. Nevertheless, challenges arise when this technique is applied to multiple teeth and when the palatal soft tissue is very thin. Several surgical modifications have been reported to simultaneously achieve both single or multiple root coverage and widening of the keratinized gingiva. In this context, there have been no reported cases utilizing the submerged technique with partially de-epithelialized free gingival grafts. We intend to introduce a submerged technique involving partially de-epithelialized free gingival grafts for the modification of soft tissue phenotypes in the maxillary anterior region.

Publisher

MDPI AG

Subject

General Medicine

Reference32 articles.

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2. Efficacy of free gingival graft in the treatment of Miller Class I and Class II localized gingival recessions: A systematic review;Deo;J. Indian Soc. Periodontol.,2019

3. Complete coverage of the denuded root surface with a one-stage gingival graft;Holbrook;Int. J. Periodontics Restor. Dent.,1983

4. Root coverage using free soft tissue autografts following acid application. I. Technique;Miller;Int. J. Periodontics Restor. Dent.,1982

5. Thick free gingival and connective tissue autografts for root coverage;Jahnke;J. Periodontol.,1993

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