Browse > Article

The effect on the formation of keratinized attached gingiva using free gingival graft with strip technique  

Lee, Dong-Yeol (Department of Periodontology, School of Dentistry, Kyung Hee University)
Kwon, Young-Hyuk (Department of Periodontology, School of Dentistry, Kyung Hee University)
Park, Joon-Bong (Department of Periodontology, School of Dentistry, Kyung Hee University)
Herr, Yeek (Department of Periodontology, School of Dentistry, Kyung Hee University)
Chung, Jong-Hyuk (Department of Periodontology, School of Dentistry, Kyung Hee University)
Publication Information
Journal of Periodontal and Implant Science / v.36, no.2, 2006 , pp. 305-318 More about this Journal
Abstract
This study was performed to evaluate the effect on the formation of keratinized attached gingiva when free gingival graft with strip technique was used. After the partial thickness flap was prepared, it was positioned apically more than 7mm using mucoperiosteal suture. At the donor site, strip was achieved with 2mm width, less than 1mm thickness, (mesiodistal teeth length + 6)$^{\ast}$2 mm length. Then, it was divided into 2 same pieces and located at the recipient bed apico-coronally with more or less 3mm interval. Follow-up check was made at 1,2,4,8,12 weeks after the operation. The results of this study were as follows : 1. The inter-strip space was mostly filled with keratinized attached gingiva. 2. The contraction of the graft was nigligible, and 92% of planned area was filled with keratinized attached gingiva. 3. The inconvenience of the patients at donor site was minimal. 4. The width of the strip was widened. In conclusion, free gingival graft using strip technique is useful to achieve the keratinized attached gingiva maximally with free gingival graft minimally and to minimize the inconvenience of donor palatal site of the patients.
Keywords
Strip technique; Free gingival graft; Keratinized attached gingiva;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Ericsson I, Lindhe J. Recession in sites with inadequate width of keratinized gingiva. An experimental study in the dog. J Clin Periodontol 1984;11:95-103   DOI
2 Stetler KJ, Bissada NF. Significance of the width of keratinized gingiva on the periodontal status of teeth with submarginal restorations. J Periodontol 1987;58:696-700   DOI
3 Ouhayoun JP, et al. Re-epithelization of a palatal connective tissue graft transplanted in a non-keratinized alveolar mucosa. A histological and biochemical study in humans. J Periodont Res 1988;23: 127-133   DOI
4 Bjorn H. Free transplantation of gingiva propria. Sverige Tandlakarforb Tidn 1963;22:684
5 Dorfman HS, et al. Longitudinal evaluation of free autogenous gingival grafts. J Clin Periodontol 1980;7:316   DOI
6 Breault LG, et al. Retained free gingival graft rugae. J Periodontol 1999;70:438-440   DOI   ScienceOn
7 Matter J, et al. Preservation of structual specificity in free gingival grafts. Longterm histological observations in man. J Bio Buccale 1984;12:133-143
8 Wennstr m J, et al. The role of keratinized gingiva and plaque associated gingivitis in dogs. J Clin Periodontol 1982;9:75-85   DOI   ScienceOn
9 Morman W, et al. The relationship between success of free gingival grafts and transplant thickness. J Periodontol 1981;52:74-80   DOI
10 Maynard JG, Wilson RDK. Physiologic dimensions of the periodontium significant the restorative dentists. J Periodontol 1979;50:170-174   DOI
11 Miyasato M, et al. Gingival conditions m areas of minimal and appreciable width of keratinized gingiva. J Clin Periodontol 1977;4:200   DOI
12 Corn H. Periosteal separation-Its clinical significance. J Periodontol 1962;33:140   DOI
13 Han TJ, et al. Strip gingival autograft used to correct mucogingival problems around implants. Int J Periodontics Restorative Dent 1995;13:405-411
14 Pasquinelli KL. The histology of new attachment utilizing a thick autogenous soft tissue graft in an area of deep recession. Int J Periodontics Restorative Dent 1995;3:248-257
15 Dorfman HS, et al. Longitudinal evaluation of free autogenous gingival grafts. A four year report. J Periodontol 1982;53:349   DOI
16 Czuszak CA, et al. Development of an exostosis following a free gingival graft. J Periodontol 1996;67:250-253   DOI
17 Lang & L e. The relationship between the width of keratinized gingiva and gingival health. J Periodontol 1972;43:623-627   DOI
18 Karring T, et al. Conservation of tissue specificity after heterotopic transplantation of gingiva and alveolar mucosa. J Periodont Res 1971;6:282   DOI
19 Han TJ, et al. The strip gingival autograft technique. Int J Periodontics Restorative Dent 1993;13:181-187
20 Karring T, et al. The role of gingival connective tissue in determining epithelial differentiation. J Periodont Res 1975;10:1-11   DOI
21 Nevins M. Attached gingiva - Mucogingival therapy and restorative dentistry. lnt J Periodontics Restorative Dent 1986;4:9-27
22 Wennstr m J, et al. Role of keratinized gingiva for gingival health. J Clin Periodontol 1981;8:311   DOI