Gingival Unit Graft: A Promising Technique for the Management of Miller’s Class III Recession
Journal Title: International Journal of Dental Science and Innovative Research (IJDSIR) - Year 2019, Vol 2, Issue 3
Abstract
Currently, the leading topic in muco-gingival surgery is the correction of gingival recession defects. Free gingival grafts (FGG) have been successfully used in periodontal procedures to increase attached gingiva and cover denuded root surfaces. However, there are few limitations of this technique such as esthetic mismatch, mal-alignment of muco-gingival junction formation and bulky appearance. One such modification of free gingival graft has been recently introduced by Allen and Cohen known as “Gingival Unit Graft” (GUG) where they harvested a palatal graft along with the marginal and the interdental tissue. This modification was proposed to enhance the synergistic relation between vascular configuration and involved tissues and minimize some of the unfavorable aspects of free gingival grafts. In the soft tissue graft procedures, site specific donor tissue is assumed to have improved potential for function and aesthetic survive at recipient sites. On a clinical level, using site specific gingival unit graft that is placed on traditionally prepared recipient site results in predictable root coverage. In this case report, the clinical effectiveness of Gingival Unit Graft (GUG) technique performed on Miller class III recession is presented. When indicated, these modifications can be advantageous over conventional free gingival grafts in management of Millers Class III gingival defects.
Authors and Affiliations
Houda E. l. Ghoulbzouri
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