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The strip gingival autograft technique
T J Han1, H H Takei, F A Carranza
1University of California at Los Angeles, School of Dentistry, Center for the Health Sciences 90024.
Summary
The novel strip technique for gingival grafting maximizes tissue area while minimizing trauma. This method ensures rapid wound healing and reduced patient discomfort at both donor and recipient sites.
Area of Science:
- Periodontology
- Oral Surgery
- Wound Healing
Background:
- Gingival grafting aims to cover exposed root surfaces and augment keratinized tissue.
- Traditional grafting methods can cause significant trauma to donor and recipient sites.
- Minimizing surgical trauma is crucial for efficient wound healing and patient comfort.
Purpose of the Study:
- To introduce and evaluate a novel strip technique for gingival grafting.
- To maximize the graft area while reducing trauma to donor and recipient sites.
- To promote rapid epithelialization and minimize patient discomfort.
Main Methods:
- A partial-thickness flap is raised, leaving periosteum intact at the recipient site.
- The apical mucosal border is sutured to the periosteum for stability.
- Donor tissue is harvested in 2-mm wide strips, transferred, and sutured.
- Dry foil and surgical packing are used for site protection during healing.
Main Results:
- The strip technique allows for maximized graft area.
- The procedure results in minimal trauma to both donor and recipient sites.
- Rapid epithelialization of the donor site occurs within 10 days.
- Patient discomfort is minimized post-operatively.
Conclusions:
- The strip technique is an effective method for gingival grafting.
- This technique offers advantages in terms of graft area, trauma reduction, and patient comfort.
- Rapid donor site healing is a significant benefit of this approach.