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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
Summary
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.
- 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.
