The Effect of Free Gingival Graft on Root Closure

Free gingival graft is a mucogingival surgical technique applied to increase keratinized gingival width and reduce gingival recession. Free gingival graft is one of the most widely used approaches in root closure treatments and in increasing the height of the keratinized gingiva. Evaluation of the effect of the amount of creeping attachment on the root surface caused by the free gingival grafts placed coronally and apical to the mucogingival line on the gingival recession in the mandibular anterior region with keratinized gingival deficiency with gingival recession. Forty patients with gingival recession and insufficient keratinized gingival height will be randomly divided into 2 main groups as free gingival grafts to be placed coronal and apical to the gingival recession.

Inclusion Criteria:18-99 years oldThe patient does not have any systemic diseasePresence of at least one tooth with gingival recession in the mandibular anterior regionExcessive dentin sensitivity and impaired esthetics associated with recessionIdentification of the enamel-cementum boundary in the shrinkage regionThe tooth is alive and there are no irregularities, grooves, caries and restorations in the area to be treated.No periodontal surgical treatment in the relevant areas in the last 24 monthsPresence of adequate keratinized and attached gingiva in the donor areaExclusion Criteria:Being outside the specified age rangeAny contraindication for systematic periodontal surgeryFailure to define the enamel-cementum boundary in the withdrawal regionPresence of caries, restoration, root concavity in the area to be treatedPatients who smoke more than 10 cigarettes per dayPatients who use drugs that suppress the immune system or impair recoveryPatients using drugs that impair bleedingInsufficient keratinized and attached gingiva in the donor area