Medicine in evolution








- Abstract -

Objective: The connective tissue grafts have been initially used for the width augmentation of the gingiva, and later for its thickness and for the covering of root retraction and the soft tissue augmentation of the alveoalar crest.
Material and methods: A number of patients have been operated and the width and gingival thickness recorded, using the classic Langer&Langer technique, but also the new microsurgical tunneling technique (Allen). 3 months after the surgeries, all the parameters have been again recorded.
Results: Using these surgical techniques, the Langer&Langer and the microsurgical tunneling with connective tissue grafts, the graft recive a double vascularisation from the inner layer of the flap and from the underlying periosteum, leading to a optimal surgical outfit in terms of colour and estethics.
Conclusions: The marginal gingival width and thickness can be maximized with the help of connective tissue grafts, being a predictable surgical technique. It can be aplyed to an increased number of teeth and because of the harvesting and transplantation technique, the healing occurs uneventfull and the postoperative discomfort of the pacient is minimal.

Key words: attached gingiva, connective tissue grafts, tunneling technique


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