Root coverage using submarginal free mucosal grafts in conjunction with a retained gingival collar

Area of Science:

• Periodontology
• Oral Surgery
• Regenerative Dentistry

Background:

• Gingival recession affects oral health and aesthetics.
• Root coverage is crucial for managing sensitivity and preventing further damage.
• Existing techniques may have limitations in predictability or application.

Purpose of the Study:

• To introduce and evaluate a modified submarginal free mucosal graft technique.
• To assess the predictability and efficacy of this technique for root coverage.
• To provide a solution for periodontists dealing with gingival recession.

Main Methods:

• A submarginal free mucosal graft harvested from the palate.
• Relaxation of the gingival collar with horizontal or semilunar incision.
• Coronal repositioning of the gingival collar with retained periosteum.
• Submarginal suturing of the graft with incisal tension on the gingival collar.

Main Results:

• The modified technique demonstrates predictable root coverage over an 8-year study period.
• Successful application in cases where aesthetics or root sensitivity are primary concerns.
• The method provides a reliable option for periodontists.

Conclusions:

• The modified submarginal free mucosal graft technique is a predictable and effective solution for root coverage.
• This approach offers significant benefits for patients experiencing gingival recession.
• The technique is a valuable addition to the periodontist's armamentarium for esthetic and sensitivity management.