Free Gingival Grafts Flashcards
Indications for a pedicle flap.
- Isolated defect
- Adequate adjacent attached gingiva
- Good vestibular depth
Indications for a free gingival graft.
- Multiple areas of recession.
- Inadequate width of attached gingiva.
- Shallow vestibular depth.
A healthy area that will provide the graft material for the recipient site.
Donor site
Is the free gingival graft procedure technique sensitive?
Yes
Color match of free gingival grafts.
Poor
Do free gingival grafts come with their own blood supply?
No
Can treat multiple site with this kind of graft.
Free gingival graft
How thick do you want your free gingival graft to be?
1-2 mm
If the donor site is on the palate, do you go down to the palatal bone when cutting out the graft?
NO! There’s vessels there!
And exposing bone is painful and can get infected easily.
What kind of blood supply is att eh recipient site of a free gingival Graft (FGG)?
Plasmotic Circulation
The connective tissue, in its healing, remodels and creates a new margin occlusal to the initial excision.
Creeping reattachment
The “Gold Standard” for gingival recession.
Connective Tissue Graft
Indications for a CT Graft
- Cover denuded roots
- Reconstruct the interproximal papilla
- Esthetics
This graft is used to reconstruct an interproximal papilla.
CT Graft
What does root preparation for a CT involve?
- Reflecting a flap.
- Root planing .
- Applying root conditioner to demineralize the root surface to expose more organic material to favor CT reattachment.
CT grafts are full or split thickness?
SPLIT
Technique for CT graft
Modified Langer Technique
This graft procedure has healing by second intention at the DONOR site bc you take the epithelia and the CT.
Free gingival graft.
This graft procedure has healing by primary intention at the DONOR site bc you do a split thickness flap, leaving some CT.
CT graft
Explain the blood supply at the recipient site for a CT graft.
Bilaminar
What is a bilaminar blood supply in a CT graft?
The graft gets a blood supply from CT on top of the bone and from the CT underneath the flap at the recipient site.
Graft procedure where you split every other papilla.
Papilla preservation and Tunneling Technique.
CT grafts used in the papilla preservation and tunneling technique.
Mucograft and Alloderm
Graft technique where teh Mucograft or Alloderm CT graft is slid under the intact papilla.
Papilla preservation and Tunneling Technique