Titanium Tacks Assisted Soft Tissue Stabilization: A Novel Technique For Free Gingival Graft Fixation: (Clinical Case Series Study) | ||
| Egyptian Dental Journal | ||
| Article 5, Volume 69, Issue 2, April 2023, Pages 977-984 PDF (1020.86 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/edj.2023.193931.2444 | ||
| Authors | ||
| hesham abdallah* 1; Mohammed Abdel Rasoul1; mohamed mohamed2 | ||
| 1Associate Professor, Oral and Maxillofacial Surgery Department, Faculty of Oral and Dental Medicine, Cairo University | ||
| 2Master of Oral Implantology, Cairo University | ||
| Abstract | ||
| Aim: The purpose of this study is to evaluate the amount of free gingival graft contraction stabilized with titanium bone tacks in patients with deficient non-keratinized gingiva in the esthetic zone. Methods: This study is conducted on 10 patients with fifteen deficient non-esthetic keratinized gingiva, which hosted 15 free gingival graft secured with titanium tacks, the graft is photographed immediately after being fixed and after one, three and six months postoperatively. Using a software standardized surface area calibration of digital photographs, computation of the graft surface area is done and submitted to statistical analysis. Results: The tack fixation presumed less intraoperative time and provided firm, secure, and good stretch for all the grafts, which all healed uneventfully. After six months, the shrinkage rate counted (40.97% ± 2.55), with the highest estimate during the first month (27.64% ± 3.75). The mean shrinkage rate was recorded (18.31% ± 3.77) between one to six months, (11.36% ± 3.60) between three to six months, and (7.81% ± 2.98) between one to three months. Conclusion: Free gingival graft fixation with titanium tacks provides optimum graft fixation and spread, reduces intraoperative time and offers good clinical results; however, not statistically superior to the other techniques. The authors recommend modifying the design of the bone tacks to suit free gingival graft stabilization, where the underlying cortical plate is deficient. | ||
| Keywords | ||
| Keywords: Free gingival graft; Titanium bone tacks; Keratinized tissue and gingival graft contraction | ||
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