Soft tissue graft – Periodontal soft tissue grafting – Gum graft
Soft tissue graft procedures can fix many tooth and implant issues.
Free gingival graft FGG
To decarease pain at donor site.
- Suture collagen over the top of site
- Have stent that covers the donor site and have patient leave in first morning. Clean stent and teeth. Then leave stent in at all times except brushing for next week. After that patient can determine time needed.
Subepithelial connective tissue graft
Tunnel connective tissue graft
The methods to accomplish a tunnel connective tissue graft vary. We have a page on tunnel 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.
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