Tables at a glance

Table 1

Figures at a glance

Comments

Figure 1

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Figure 2

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Figure 3

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Figure 4

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Figure 5

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Figure 6

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Figure 8

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Figure 9

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Figure 10

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Figure 11

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Figure 12

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Figure 13

Table 1

Summary
Why is this case new information?	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

FIGURE 10

Figure 10: Graft sutured at position

FIGURE 11

Figure 11: Donor site with 30 days healing

FIGURE 12

Figure 12: Receptor area after 30 days healing

FIGURE 13

Figure 13: Donor Site