Free gingival graft for soft tissue management

181 Rating(s).

Posted on 02.18.2019 04:04 PM By Cristian Rotaru In Soft Tissue Enhancement

FGG following a bone augmentation procedure for soft tissue enhancement on the left mandible.
This is just one step in a staged full mandible implant supported prosthetic rehabilitation.
Bone graft on the right mandible is next and then extractions of the frontal teeth is planned with postextractional implant placements.

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10 Comments

andoni jones says on 02.19.2019 02:12 PM

Beautiful video, you make it look very easy. Well done! Just one question, why not use resorbable sutures? At least when you are suturing the flap to the periosteum in the newly created vestibulum? Thanks

Cristian Rotaru says on 02.20.2019 04:01 PM

Thank you !

Yes, you could use resorbable, they work very well if they are monofilament though.
I would not use multifilament.

george hebeka says on 02.19.2019 06:51 PM

Excellent video

Cristian Rotaru says on 02.20.2019 03:58 PM

Thx !

Maurice Salama says on 02.19.2019 10:22 PM

Just exquisite surgical skills and procedure. Truly an educational tutorial on FGG. Well done. Dr. Salama

Cristian Rotaru says on 02.20.2019 03:58 PM

Thank you !

Brian Fann says on 02.20.2019 11:38 AM

beautiful surgery. nylon sutures, correct?

Cristian Rotaru says on 02.20.2019 03:58 PM

Thank you !

polypropylene suture

snjezana pohl says on 02.20.2019 01:13 PM

Very nice video and very nicely performed procedure, thank you for sharing, dear Christian.
What do you think about FGG during implant osseointegration (or prior to the block, or prior to the implant placement)? This way, the vertical soft tissue would be enhanced. At least FGG at the time of implant uncovering?
Suture is absorbable monofilament I guess?
Best regards
Snjezana

Cristian Rotaru says on 02.20.2019 03:57 PM

Hi, Snjezana.
Thank you .

The FGG was done following a bone augmentation with titanium meshes fixated to implant ( Igen membrane ).

I dont do FGG during healing period when i use titanium mesh as the risk of accidental exposure of the membrane is very high when manipulating the tissue.
I prefer not to risk doing brave surgeries just to shorten the treatment for the patient by 2-3 weeks .

I always do it after the mesh removal with stable tissues.

Thanks !