Editorial Type:
Article Category: Case Report
 | 
Online Publication Date: 21 Apr 2022

Simplified Free Gingival Graft Around Implants Using Medical Grade Tissue Cyanoacrylate: A Case Series Report

DDS, PhD,
DMD,
DDS,
DDS, and
DDS, PhD
Page Range: 485 – 490
DOI: 10.1563/aaid-joi-D-21-00025
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The free gingival graft (FGG) procedure using suturing techniques has been widely utilized to effectively increase the amount of attached keratinized gingiva. However, conventional suturing procedures are time-consuming and technique-sensitive. Simplified FGG procedure around teeth and dental implants using medical grade tissue adhesive (cyanoacrylate) is known to overcome drawbacks of traditional suture techniques. However, the clinical application of cyanoacrylate as a means of stabilizing the graft has not been a common practice. The aim of this report demonstrates simplified FGG procedures around dental implants using cyanoacrylate with follow-up results.

Keywords: free gingival graft; cyanoacrylate; attached keratinized gingiva; dental implants
Copyright: 2022
Figure 1.
Figure 1.

Note the insufficient attached keratinized gingiva after the delivery of a fixed provisional prosthesis.

Figure 2.
Figure 2.

Preparation of recipient site: Make sure to remove all mobile tissues including muscular and loose connective tissue with No.15 blades.

Figure 3.
Figure 3.

Harvesting of thin (0.5- to 1-mm thick) palatal tissue on the same side of maxilla.

Figure 4.
Figure 4.

Application of cyanoacrylate on the donor site for rapid hemostasis.

Figure 5.
Figure 5.

Stabilization of free gingival graft on the recipient site using cyanoacrylate.

Figure 6.
Figure 6.

COE pack dressing was applied to protect the wound.

Figure 7.
Figure 7.

Intraoral view after 6 months of healing reveals sufficient zone of attached keratinized gingiva.

Figure 8.
Figure 8.

The excised tissue cores taken from a tissue punch was placed on the recipient site.

Figure 9.
Figure 9.

Tissue cores were placed on the recipient site.

Figure 10.
Figure 10.

Gingival grafts were stabilized with cyanoacrylate.

Figure 11.
Figure 11.

Note attached gingiva around implants after 13 years loading.

Figure 12.
Figure 12.

Intraoral view reveals muscular tension around provisional implant restorations.

Figure 13.
Figure 13.

Free gingival graft (FGG) was stabilized with cyanoacrylate.

Figure 14.
Figure 14.

Intraoral image after 8 days postoperatively.

Figure 15.
Figure 15.

Intraoral view showing sufficient zone of keratinized gingiva after the delivery of final restoration after 5 years loading.

Contributor Notes

* Corresponding author, e-mail: dssohn@cu.ac.kr
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