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Free Gingival Graft Vs Pedicle Graft

This document compares free gingival grafts and pedicle grafts for treating gingival recession. Free gingival grafts involve transplanting gingival tissue from a donor site to the area needing treatment, while pedicle grafts involve repositioning nearby gingival tissue. Free gingival grafts have advantages like predictability and treating multiple teeth but require a second surgical site. Pedicle grafts maintain blood supply from the original site and require only one surgical site, but are limited by the available nearby tissue. Both procedures aim to increase keratinized gingiva and treat gingival recession.

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Sharannia Kumara Veloo
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307 views2 pages

Free Gingival Graft Vs Pedicle Graft

This document compares free gingival grafts and pedicle grafts for treating gingival recession. Free gingival grafts involve transplanting gingival tissue from a donor site to the area needing treatment, while pedicle grafts involve repositioning nearby gingival tissue. Free gingival grafts have advantages like predictability and treating multiple teeth but require a second surgical site. Pedicle grafts maintain blood supply from the original site and require only one surgical site, but are limited by the available nearby tissue. Both procedures aim to increase keratinized gingiva and treat gingival recession.

Uploaded by

Sharannia Kumara Veloo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Free gingival graft vs Pedicle graft

Free gingival graft Pedicle graft


A soft tissue graft that is completely gingiva tissue that is near the graft site is cut
detached from one site and transferred to a and then pulled over in a flap to the area
remote site. where the graft is needed and re-stitched
Blood supply not maintained from donor site Blood supply maintained from donor site

Origin from autograft More like a flap


Need second surgical site avoids the need of a second surgical site
Advantage: Advantage:
 High degree of predictability  One surgical site
 Simplicity  Good vascularity of the pedicle flap
 Ability to treat multiple teeth at the same  Ability to cover a denuded root surface
time
 Can be preformed when keratinized
gingiva adjacent to the involved area is
insufficient
 As the first step in a two-stage procedure
for attaining root coverage
 As a single step for attaining root
coverage
Disadvange: Disadvantage:
 Two operative sites  Limited by the amount of adjacent
 Compromised blood supply keratinized attached gingiva
 Greater discomfort  Possibility of recession at the donor site
 Poor hemostasis  Dehiscence or fenestration at donor site
 Retention of graft  limited to one or two teeth
Contraindication: Contraindication:
 perceptible mismatch in color between  Presence of deep interproximal pockets
donor site and gingiva adjacent to  Excessive root prominence
recipient site  Deep or extensive root abrasion or
 lack of thick donor tissue erosion
 class III or class IV recession defect  Significant loss of interproximal bone
 root surface of excessive mesiodistal height
width coupled with interproximal tissue
that is too narrow to support the blood
supply
Indication: Indication:
 To increase keratinized tissue around  Sufficient tissue exist adjacent to the
teeth, implants or crowns area of recession
 To increase keratinized tissue under  Coverage limited to one/two teeth
removable prostheses  Suitable for recession with narrow
 To increase vestibular depth mesiodistal width
Procedure: Procedure:
Classic Technique  Laterally repositioned pedicle flap
Variant Techniques (Accordion technique,  Double Papilla Rotational Flap
Strip technique, Combination)  Coronally Repositioned Flap

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