Free Gingival Grafts

Question 1

Indications for a pedicle flap.

Answer 1

• Isolated defect
• Adequate adjacent attached gingiva
• Good vestibular depth

Question 2

Indications for a free gingival graft.

Answer 2

• Multiple areas of recession.
• Inadequate width of attached gingiva.
• Shallow vestibular depth.

Question 3

A healthy area that will provide the graft material for the recipient site.

Answer 3

Donor site

Question 4

Is the free gingival graft procedure technique sensitive?

Answer 4

Yes

Question 5

Color match of free gingival grafts.

Answer 5

Poor

Question 6

Do free gingival grafts come with their own blood supply?

Answer 6

No

Question 7

Can treat multiple site with this kind of graft.

Answer 7

Free gingival graft

Question 8

How thick do you want your free gingival graft to be?

Answer 8

1-2 mm

Question 9

If the donor site is on the palate, do you go down to the palatal bone when cutting out the graft?

Answer 9

NO! There’s vessels there!

And exposing bone is painful and can get infected easily.

Question 10

What kind of blood supply is att eh recipient site of a free gingival Graft (FGG)?

Answer 10

Plasmotic Circulation

Question 11

The connective tissue, in its healing, remodels and creates a new margin occlusal to the initial excision.

Answer 11

Creeping reattachment

Question 12

The “Gold Standard” for gingival recession.

Answer 12

Connective Tissue Graft

Question 13

Indications for a CT Graft

Answer 13

• Cover denuded roots
• Reconstruct the interproximal papilla
• Esthetics

Question 14

This graft is used to reconstruct an interproximal papilla.

Answer 14

CT Graft

Question 15

What does root preparation for a CT involve?

Answer 15

• Reflecting a flap.
• Root planing .
• Applying root conditioner to demineralize the root surface to expose more organic material to favor CT reattachment.

Question 16

CT grafts are full or split thickness?

Answer 16

SPLIT

Question 17

Technique for CT graft

Answer 17

Modified Langer Technique

Question 18

This graft procedure has healing by second intention at the DONOR site bc you take the epithelia and the CT.

Answer 18

Free gingival graft.

Question 19

This graft procedure has healing by primary intention at the DONOR site bc you do a split thickness flap, leaving some CT.

Answer 19

CT graft

Question 20

Explain the blood supply at the recipient site for a CT graft.

Answer 20

Bilaminar

Question 21

What is a bilaminar blood supply in a CT graft?

Answer 21

The graft gets a blood supply from CT on top of the bone and from the CT underneath the flap at the recipient site.

Question 22

Graft procedure where you split every other papilla.

Answer 22

Papilla preservation and Tunneling Technique.

Question 23

CT grafts used in the papilla preservation and tunneling technique.

Answer 23

Mucograft and Alloderm

Question 24

Graft technique where teh Mucograft or Alloderm CT graft is slid under the intact papilla.

Answer 24

Papilla preservation and Tunneling Technique