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Updated: Jun 23, 2025

A Novel Approach to Monitoring Graft Neovascularization in the Human Gingiva
Published on: January 12, 2019
Double vertical interrupted suture for optimal adaptation and stabilization of free gingival graft around dental
Neda Moslemi1,2, Amirmohammad Dolatabadi1, Seyedhossein Mohseni Salehimonfared1
1Department of Periodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.
Background:
Free gingival graft is commonly used to augment the keratinized mucosa and vestibular depth around dental implants. The proper suturing technique is fundamental to achieve a successful result following free gingival graft. However, there are limited studies that focus on the details of the suturing methods to optimize graft adaptation. The purpose of this technical note is to describe a new suturing technique for optimal approximation and stabilization of free gingival graft around dental implants.
Case Presentation:
Here, we present a 53-year-old Persian female with peri-implantitis and lack of keratinized mucosa around mandibular implants who was a candidate for free gingival graft. A new suturing technique, double vertical interrupted suture, was conducted in the interimplant areas. In addition, the suspensory cross-mattress sutures were added to ensure the adaptation of the graft over the implants. The proposed suturing technique is useful for soft tissue augmentation around multiple implants with concave or uneven recipient bed.
Conclusion:
The present article describes a novel suturing technique for good adaptation and fixation of free gingival graft around dental implants.

