Posteo de casos

A simple free gingival graft - You need to know this basic technique

This is the most basic technique for a free gingival graft (FGG) or the epithelialized palatal graft. It has been around since 1962. Works extremely well to improve tissue quality and prevent further recession. In the process you eliminate the frenum and can also get root coverage if done properly. It had a bad reputation for many years because patients had a a lot of pain from the donor site. The grafts were also very thick (sometimes with Rugae) and looked patchy and unesthetic. Over the years, we got better at this. The graft doesn't have to be too thick (about 1-1.5mm) and you need a good preparation of the recipient site. Create some bevels in the graft and the vascular bed. It'll blend much better and you'll increase vascularity.  The contour will match but the color will be different because it's coming from the palate. It is very predictable.

You need to know this technique. It's usuful and many patients have conditions that require it. It is also useful for implant sites to improve tissue quality. I will share the technique for implants in the future. Don't take this graft lightly or dismiss it as being "old news". Not at all. I do a lot of it in my practice. Found the balance between managing pain and still getting a good result.

You will love the results for implants that you'll see from me. Start getting familiar with it. Use it on teeth (usually lower incisors). You need to do 5-10 cases to understand how it works and also how to handle the flap and graft harvest and suturing. When you feel comfortable e-mail me. I'll post the technique for implant sites.