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International Journal of Esthetic Dentistry  (English Edition)
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Int J Esthet Dent 15 (2020), No. 1     3. Feb. 2020
Int J Esthet Dent 15 (2020), No. 1  (03.02.2020)

Page 56-67, PubMed:31994536


A modified combined approach to harvest connective tissue grafts with high quality, less morbidity, and faster healing
Ho, Feng-Chuan
Harvesting good-quality connective tissue grafts (CTGs) is important in periodontal surgery. Compared with CTGs, free gingival grafts (FGGs) have a slower healing process and higher donor site morbidity. As far as graft quality and anatomic limitations are concerned, deepithelialized free gingival grafts (DE-FGGs) are superior to CTGs. In the current study, a modified combined approach is proposed that aims to address the disadvantages of conventional FGG harvesting methods. This approach entails harvesting a thin and narrow DE-FGG, repositioning the epithelial layer, and applying a plastic stent. The outcomes of this improved method indicate fast healing at the donor sites, fewer postoperative complications, and better esthetic results at the recipient sites.