Is free gingival graft full thickness?

A free palatal graft of 0.9 mm thickness proved to be functionally sufficient regardless of whether they healed on denuded alveolar bone or a periosteal bed (James & McFall Jr, 1978). The ideal thickness of the graft should be 1–1.5 mm thick.
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What is the difference between a free gingival graft and a connective-tissue graft?

Similar to a connective-tissue graft, free gingival grafts involve the use of tissue from the roof of the mouth. But instead of making a flap and removing tissue under the top layer of flesh, a small amount of tissue is removed directly from the roof of the mouth and then attached to the gum area being treated.
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What is free gingival soft tissue graft?

The free gingival graft (FGG) is a surgical procedure frequently used in periodontics to increase the amount of keratinized tissue surrounding a tooth or a dental implant. Keratinized tissue plays a major role (around teeth and dental implants), helping to maintain and facilitate oral hygiene.
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When is a free gingival graft used?

A free gingival graft or connective tissue graft is indicated to stabilize and repair the gingiva of teeth with significant recession. Such grafts commonly use allogenic material or donor tissue from the patient's own palate.
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What is the free gingiva?

The free gingival margin is the area located between the sulcular epithelium and the epithelium of the oral cavity. This interface exists at the most coronal point of the gingiva, which is also known as the crest of the marginal gingiva. The gingival margin (F) is the most coronal point of the gingiva.
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How does a FREE GINGIVAL GRAFT WORK (Surgicalmaster).



What is the difference between free and attached gingiva?

Attached gingiva – This tissue is adjacent to the free gingiva and is keratinized and firmly attached to the bone structure. It can range from 3-12 mm in height. Free gingiva – This tissue is not attached and forms a collar around the tooth.
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Is free gingiva Keratinized?

The keratinized gingival is the part of the oral mucosa which covers the gingiva and hard palate. It extends from the free gingival margin to the mucogingival junction and consists of the free gingiva as well as the attached gingiva.
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Where is free gingival grafting?

The free gingival graft is an effective treatment in increasing the width of mandibular keratinized mucosa on the buccal side of the interforaminal area and provided an improvement in maintaining the health of peri-implant tissues which allows for better oral hygiene.
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How do you get a free gum graft?

Surgical procedure
  1. Step 1: Preparing the recipient site. ...
  2. Step 2: Harvesting the free gingival graft from palate. ...
  3. Step 3: Preparation and placement of fibrin-fibronectin sealing system (Tissucol®/Tisseel) on the root surface. ...
  4. Step 4: Placement of free gingival graft on the recipient bed coated with Tissucol.
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Are gum grafts free?

Depending on your individual needs, your periodontist will perform one of the following: Free gingival graft: Your periodontist removes a small piece of tissue from the roof of your mouth and suture (stitch) it to the area that needs gum tissue.
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What are the different types of gum grafts?

There are also four different types of gum grafts that your implant dentist may recommend, including:
  • Connective Tissue Grafts.
  • Free Soft Tissue Autogenous Graft.
  • Double Papilla Subepithelial Graft.
  • Pedicle Graft.
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What are the different types of tissue grafts?

Tissue grafts can be categorized as autograft, allograft, or xenograft. Autograft is tissue moved from one location within the body to another.
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What tissue is used for a gum graft?

Connective-tissue grafts.

This is the most common method used to treat root exposure. During the procedure, a flap of skin is cut at the roof of your mouth (palate) and tissue from under the flap, called subepithelial connective tissue, is removed and then stitched to the gum tissue surrounding the exposed root.
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How long does a free gingival graft take?

This procedure is referred to as a free gingival graft (since the tissue is separated from its blood supply), and it takes about 45 minutes to perform.
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Does gum graft shrinkage?

Unlike the literature, we found that the shrinkage of vertical and horizontal dimensions of the grafts were almost equal. We observed that graft shrinkage occurs concurrently in the vertical and horizontal dimensions for a period of 90 days.
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What is Alloderm graft?

Alloderm is an alternative material used for soft tissue grafting that does not require harvesting of tissue from the patient. Alloderm is an accelular dermal matrix material that provides a scaffold on which the body can incorporate new blood vessels and grow new soft tissue cells.
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How long does it take a gum graft to fully heal?

Gum grafting recovery

Most patients are fully healed in just one to two weeks. Most people do return to work the day after their procedure though. After gum grafting, your teeth may feel more sensitive than usual. Desensitizing toothpaste or mouthwash can help with this discomfort.
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How do I know if my gum graft failed?

Usually, you can tell you have a failed gum graft because you will have a large white patch of white tissue that has come off the tooth. Sometimes it may even look like the gum graft is falling off.
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What should a gum graft look like after one week?

The gum tissue will undergo changes for the next 1-2 weeks. The graft color may change from pink to white. This is NORMAL. Then the color will change to red and then back to pink as the swelling decreases.
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How long is gum graft White?

For soft tissue “gum” grafts, the site(s) may appear white during the healing process (up to 2 weeks), this is normal and not a sign of infection. The tissue will change to a pink color as it heals.
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Which is Mucogingival surgery?

Mucogingival surgery is plastic surgery designed to correct defects in the gingiva surrounding the teeth. Common mucogingival conditions are recession, absence, or reduction of keratinized tissue, and probing depths extending beyond the mucogingival junction.
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What is Vestibuloplasty surgery?

Vestibuloplasty is a surgical modification of the gingiva-mucous membrane relationships including deepening of the vestibular trough, altering the position of the frenulum or muscle attachments and widening of the zone of attached gingiva.
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What type of epithelium is free gingiva?

The oral surface of the gingiva is lined by a parakeratinized squamous cell epithelium: the oral gingival epithelium.
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Is junctional epithelium part of free gingiva?

The junctional epithelium (JE) is located immediately apical to the sulcular epithelium. The sulcular epithelium lines the gingival sulcus from the base to the free gingival margin. This is where it interfaces with the epithelium of the oral cavity.
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What is Keratinized tissue mean?

Keratinized tissue, also known as keratinized mucosa, refers to the band of tissue surrounding your teeth at the point where they meet the gums. The word "keratinized" is used to describe cells that produce large amounts of a protein called keratin, making them strong and better at forming barriers.
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