Open AccessFREE GINGIVAL GRAFT MORPHOGENESIS
Author(s) -
С. С. Едранов,
R. A Kerzikov
Publication year - 2017
Publication title -
rossijskij stomatologičeskij žurnal
Language(s) - English
Resource type - Journals
eISSN - 2413-2934
pISSN - 1728-2802
DOI - 10.18821/1728-28022017;21(2):111-116
Subject(s) - periosteum , medicine , soft tissue , dentistry , dental alveolus , connective tissue , fixation (population genetics) , alveolar mucosa , surgery , pathology , population , environmental health
This review analyzes the current state of the problem of creating the area of keratinized and attached gingiva in dental implantology. Apically positioned flap with a free gingival graft (FGG) placement is considered the gold standard in the oral soft tissue plastic surgery. It is noted that the periosteal or connective tissue recipient bed is an important prerequisite to graft revascularization and survival. FGGs placed on the periosteum often display clinical mobility while grafts fixed on denuded alveolar bone predictably create a firmly attached band of keratinized gingiva. The development of specific techniques and methods for fixing the FGG on bone bed have special priority. Exploring rigid fixation of the graft, as well as cellular and molecular mechanisms that determine the dynamics of the regenerative processes at the graft-bed interface has great clinical potential.