Abstract :
Background: This case series study predictability of free gingival graft in management of gingival recession. 3 cases with mucogingival problems needing free gingival grafts were selected.
Materials and Methods: First, the recipient site was anesthetized and de-epithelialization was done and recipient bed was prepared. After tracing the palatal donor site with the aluminium foil template, bleeding points marked and graft was harvested. For root modification of the recipient tooth, conditioning of the dentin was done by the EDTA. Graft is closely adapted over the recipient with Oschenbein and circumferential sutures so there was no dead space left between the root surface and graft, by 5-0 monofilament suture.
Result: In case I and III where Miller’s Class II and I gingival recession respectively, there is complete root coverage achieved and in case II Miller’s Class III type of gingival recession present 80% root coverage possible.
Conclusion: FGG best alternative for the treatment of gingival recession presents with inadequate width of attached gingiva and depth of vestibular fornix but main disadvantage of FGG is unesthetic appearance, two donor site, donor site morbidity, age and limitation of patient systemic condition. So proper case selection along with definitive treatment planning for every case is necessary.
Keyword :
Free gingival graft, Shrinkage, Healing, Predictability, Gingival recession