Technical Note on Simplified Free Gingival Graft Using Tack Fixation (sFGG)

Medicina (Kaunas). 2023 Nov 22;59(12):2062. doi: 10.3390/medicina59122062.

Abstract

Free gingival graft (FGG) is the gold standard procedure for the reliable augmentation of lost keratinized mucosa (KM) around dental implants. This conventional surgical approach has its drawbacks, including limitations in manipulation, the requirement for suturing, postoperative discomfort, and pain. This case report aimed to evaluate the efficacy of a simplified free gingival graft (sFGG) in addressing the issue of inadequate keratinized mucosa around dental implants. Fixation tacks were used to perform the sFGG procedure. Initially, a partial-thickness flap was created and apically repositioned. The gingival graft was harvested from the palate with a narrow profile and securely affixed to the recipient site using 5 mm long fixation tacks. Significant gains in keratinized mucosa were achieved and successfully maintained within 1 year. Consequently, the sFGG technique emerges as a simple and reliable treatment approach for managing inadequate keratinized mucosa around dental implants.

Keywords: dental implants; mouth mucosa; oral surgical procedures; peri implantitis; vestibuloplasty.

Publication types

  • Case Reports

MeSH terms

  • Dental Care
  • Dental Implants*
  • Gingiva / surgery
  • Humans
  • Mucous Membrane
  • Surgical Flaps

Substances

  • Dental Implants

Grants and funding

This research received no external funding.