The management of large mucogingival defects with an "epithelial embossed" connective tissue graft

The subepithelial connective tissue graft (SECTG) is a favorite surgical technique for the treatment of mucogingival defects. However, complete root coverage of Miller Class I and II defects is often not achieved with this procedure, especially when the defects are deep or wide. The purpose of this report is to describe a surgical technique used to manage such mucogingival defects. The technique uses a uniquely obtained SECTG with "embossed epithelium" that is designed to fit the defect site. This is employed to prolong protection of the underlying healing process. In addition, this technique avoids flap advancement, thereby allowing for the development of a wider zone of attached gingiva at the treatment site.