Title: Management of Multiple Mucogingival Defects by way of Versatile Free Gingival Graft
Authors: Dr Suchetha A, Dr Joseph Kishore Reddy, Dr Darshan BM, Dr Sapna N, Dr Apoorva SM, Dr Divya Bhat, Dr Freeda Ampotti
DOI: https://dx.doi.org/10.18535/jmscr/v8i9.42
Abstract
Background: Gingival recession is defined as exposure of the root surface by an apical shift in the position of the gingiva. It is most probably the result of the cumulative effect of minor pathologic involvement like inflammation or repeated trauma to the gingiva.2 The other etiologic factors are faulty tooth brushing technique (gingival abrasion), tooth malposition, friction from soft tissues (gingival ablation),abnormal frenum attachment. The treatment of gingival recession comes under mucogingival surgery. There are many treatment modalities are present to correct gingival recession defects. They are use of free gingival autograft, free connective tissue autograft, pedicle autografts, laterally (horizontally) positioned, Coronally positioned, Semilunar pedicle (Tarnow), Sub epithelial connective tissue graft (Langer), Guided tissue regeneration, Pouch and tunnel technique. Despite of the advances in technique of correction of gingival recession, free gingival graft continues to be a reliable procedure for increasing the width of keratinized gingiva and stopping the progression of gingival recession.
Case Presentation: In the present article discussing two case reports presented with millers class II GR with abnormal frenum pull. Classic technique given Bjorn by using free gingival graft was used.There was a significant reduction in RD after one month and 3months post operatively.
Conclusion: The free gingival graft for root coverage is a feasible and effective treatment procedure in mucogingival surgery. Despite the fact that other effective root coverage techniques have been described, the free gingival graft may still be the best treatment choice for gingival recession.
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