Free Gingival Graft with Titanium-Reinforced Platelet-rich Fibrin for Palatal Wound Healing – A Case Report

Abstract

Introduction: Treatment of mucogingival problems is one of the main concerns of regenerative periodontal therapy. Free gingival graft (FGG) is a proven mucogingival procedure, successfully employed to increase the zone of the keratinized tissue, and helps in the root coverage of the denuded roots. Materials and Methods: Autogenous FGG was harvested from the palatal donor site to increase

the width of attached gingiva and also for root coverage in patient with Millers ClassI gingival recession and shallow vestibular depth

in the mandibular premolar. Titanium-prepared platelet-rich fibrin (T-PRF) membrane was placed on the donor site. Results: The healing was uneventful 2-week postoperatively at both the sites. There was a significant gain in the width of the attached gingiva at the treated sites.

Conclusion: FGG is an effective treatment option in conditions with inadequate width of attached gingiva and shallow

vestibular depth. T-PRF was an effective alternate to decrease the patient morbidity by minimizing post-operative complications.

Key words: Attached gingiva, Free gingival graft, Palatal wound healing, Recession, Titanium-prepared platelet-rich fibrin