Gingival Augmentation with an Alternative Gingival Grafting Technique: A Case Report

Abstract

The significance of keratinized gingiva around teeth and dental implants has long been challenged. However, certain clinical circumstances require gingival augmentation. In this case report patient having Miller's Class III gingival recession along with absence of attached gingiva in relation to malposed mandibular right central incisor was treated with free gingival graft procured from buccal gingiva. The aim was to augment keratinized tissue and attached gingiva in relation to mandibular central incisor along with esthetics. As free gingival graft procured from palate has its disadvantage of “tire-patch appearance” so graft was procured from buccal gingiva in relation to maxillary premolar area. This case was followed up till 6 months. The patient also underwent fixed orthodontic treatment, initiated 3 months after surgery. During orthodontic treatment periodontal parameters remained stable.