In this case we describe the indications of doing a Free Gingival Graft in order to cover a recession, increase the thickness of the tissue and create a zone of attached gingival in the lower central incisors.
It is very important to identify the cause of the problem:
1. Thin tissue biotype
2. Absence of attached gingiva
3. High Frenum insertion
4. Root position post orthodontic treatment
The free gingival graft in combination with plasty of the root during the procedure will eliminate the above causes and will offer a good and stable long term result.
Disadvantage of the technique:
1. Morbidity of the donor site ( use a stent and/or mouthwash NSAID)
2. No good color match of the graft with the adjacent tissue (even though is not really an aesthetic area but you have to inform the patient in advance)
Bottom-line:
Very predictable technique for this area of the mouth to treat muccogigival defects.
Best,
Ioannis
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