Widening Keratinized Tissue Using Modified Free Gingival Graft

Figure 1. (a) Clinical photograph taken at the initial visit. (b) Occlusal view showing minimal keratinized tissue on the buccal side. (c) Radiograph taken at the initial visit. Figure 2. (a) The free gingival graft (length 15 mm × height 4.5 mm) was obtained from the palate. (b) Sutures secured the graft to the periosteum. (c) An 8-day postoperative buccal view showing increased keratinized tissue.

Figure 3. (a) Photograph taken just before implant installation, 6 weeks after free gingival graft (FGG) surgery. (b) Three implants were placed, and the buccal surface and marginal voids were grafted with bovine anorganic hydroxyapatite. (c) The remaining sutures were removed 2 weeks after implant installation, which was 8 weeks after FGG surgery. Figure 4. (a) Buccal view 6 months after FGG surgery. (b) Occlusal view 6 months after FGG surgery showing stable result.