Tsv. Boyarova¹, P. Kolarova²

Medical University – Sofia, Bulgaria

Faculty of Dental Medicine, Department of Periodontology

¹Assistant Professor, Department of Periodontology, Sofia

²Postgraduate student, Department of Periodontology, Sofia

Free gingival grafts are the most used method to achieve gingival augmentation. According to the American Academy of Periodontology the indications for gingival augmentation are the following: to halt progressive marginal gingival recession; to improve plaque control and patient comfort around teeth and implants; to increase the insufficient dimension of gingiva in conjunction with prosthetic restorations and to prevent soft tissue damage in the presence of alveolar bone dehiscence during natural eruption or orthodontic treatment.

Aim: The aim is to approve the effectiveness of this approach in different clinical cases.

Material and methods: Some cases with free gingival grafts are presented to achieve gingival augmentation by placing them at the marginal or submarginal level. Root coverage is not the immediate and primary goal of these procedures.

Results: In all presented cases with free gingival grafts is achieved gingival augmentation, witch resolves the problems in conjunction with plaque control in the cases of advanced periodontitis; increases the dimension of attached gingiva in the cases with insufficient or lack of attached gingiva and frenulum pull and in the cases with gingival recession there is some root coverage.

Keywords: free gingival graft, gingival augmentation, gingival recession