This is new approach for aconservative removal of freegengival graft
What are the keys to successful management of this case?
- perfect removal of a regular free gengival graft
- perfect graft stabilization
- patient painless
- fast healing
What are the primary limitations to success in this case?
- shallow palate
FIGURE 1
Figure 1: Initial picture showing absence of keratinized tissue around three submerged implants on anterior mandible that will be prosthetically rehabilitaded
FIGURE 2
Figure 2: Initial incision for flap elevation delimiting the region that will receive the graft
FIGURE 3
Figure 3: Division of partial thickness flap unhanding intact periosteum attached to bone
FIGURE 4
Figure 4: Double blade scapel mounted. Measurement of recipient area was done previously using a calibrated periodontal probe. A template was made with sterilized paper and transferred to the donor site on the palate. A superficial incision surrounding the map is made to outline the graft. A double-blade scalp is used to initate the incision from the mesio-disto distance of the graft
FIGURE 5
Figure 5: Double blade scapel in position at donor site
FIGURE 6
Figure 6: Double blade scapel in position removing gingival graft
FIGURE 7
Figure 7: Donor site after graft removal and sutured
FIGURE 8
Figure 8: Graft thickness checked
FIGURE 9
Figure 9: Free gingival graft in position to check measurements
Tables at a glance
Figures at a glance