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A Novel Approach to Monitoring Graft Neovascularization in the Human Gingiva

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Technical Note on Simplified Free Gingival Graft Using Tack Fixation (sFGG).

Won-Pyo Lee¹, Jae-Seek You², Ji-Su Oh²

¹Department of Periodontology, School of Dentistry, Chosun University, Gwangju 61452, Republic of Korea.

Medicina (Kaunas, Lithuania)

|December 23, 2023

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A simplified free gingival graft (sFGG) using fixation tacks effectively augments keratinized mucosa (KM) around dental implants. This technique offers a reliable alternative to conventional methods, reducing patient discomfort and surgical complexity.

Area of Science:

Periodontology
Dental Implantology
Oral Surgery

Background:

Free gingival graft (FGG) is standard for augmenting keratinized mucosa (KM) around dental implants.
Conventional FGG presents challenges like suturing, discomfort, and pain.
Inadequate KM around implants can compromise long-term success.

Observation:

A simplified FGG (sFGG) technique was evaluated for augmenting KM.
The sFGG procedure involved a partial-thickness flap, apically repositioned graft, and fixation tacks.
Grafts were harvested from the palate with a narrow profile and secured with 5 mm tacks.

Findings:

The sFGG technique resulted in significant gains in keratinized mucosa.
These gains were successfully maintained for up to 1 year post-procedure.

Keywords:

dental implants mouth mucosa oral surgical procedures peri implantitis vestibuloplasty

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The simplified approach demonstrated efficacy in managing inadequate KM.

Implications:

The sFGG technique provides a simple and reliable method for KM augmentation.
This approach may reduce postoperative morbidity compared to conventional FGG.
It offers a viable solution for improving peri-implant tissue health and implant stability.