Soft tissue graft – Periodontal soft tissue grafting
Soft tissue graft procedures can fix many tooth and implant issues.
Free gingival graft FGG
Subepithelial connective tissue graft
Coronally advanced flap or coronally positioned flap
You can treat a class I Miller recession with a coronally advanced flap, add in a SECTG or FGG for class II Miller recession. A modified coronally advanced flap will use attachments of some sort to secure the flap coronally in place.
A modified coronally advanced flap can use brackets but just a tab of composite is better as it more esthetic.
Pedicle graft or lateral sliding flap or laterally positioned flap
Apically repositioned flap
Split thickness apically repositioned flap
Can do around implants without the graft to let fill in with more attached gingiva as seen below under modified apically repositioned flap.
Modified apically repositioned flap
The modified apically repositioned flap (MARF)
technique uses a single horizontal incision within the keratinized tissue (KT), elevating a split-thickness flap, and suturing of the flap to the periosteum in an apical position. Periosteum is left exposed in the area between the initial horizontal incision and the coronal margin of the flap. The full perimeter of the exposed periosteal area is completely surrounded by KT. Therefore, keratinized epithelial cells migrate over the periosteum during the wound healing, resulting in the formation of keratinized attached tissue in the area of the previously exposed periosteum. Contraindicated if less than .5mm of attached gingiva. This beats a FGG in terms of pain and accomplishes same task.