Augmentation of the Keratinized Gingiva Around Implants - Free Gingival Graft - Dental Online College
A service from  Deutscher Ärzteverlag
+49 2234 70 11 532Customer Hotline

Shopping Cart




Augmentation of the Keratinized Gingiva Around Implants - Free Gingival Graft

Watch free preview now
Fortbildungspunkte sammeln
Duration:

07:06

Surgeon:

Prof. Dr. Hürzeler

In this surgical procedure, Professor Markus Hürzeler (Munich) extends the excessively narrow keratinized gingiva around implants in the posterior area of quadrant IV applying a free gingival graft.

First, the graft bed is prepared with great care in order to establish proper healing conditions. The incision at the recipient site is performed vertically along the mucogingival junction. A mucosa flap of even thickness is then prepared, extending into the vestibulum. The connective tissue that is still attached to the periosteum is circumcised and cut off. Epithelium at the coronal site of the bed and remaining mobile tissue parts that are still attached to the base have to be removed thoroughly in order to prepare a proper graft bed. The thinned mucosa flap is fixed at the existing connective tissue in an apical position with a mattress suture using absorbable suture material.
To obtain a free gingival graft of the required size, the graft bed is measured and the size transferred to the donor region of the palate by placing bleeding points. Following the incision, a free gingival graft is prepared by repeatedly angling the scalpel. Overlapping incision ends facilitate the harvesting of a graft with even thickness. The palatal wound is treated with local anesthesia and a histoacryl glue, finally covered with a dressing plate.
Then, the free gingival graft is applied to the prepared bed. After little adjustments at the wound edges it is fixed to the new base with loop sutures using Gore-Tex material. A stable fixation and steady contact pressure are very important and will result in good adaption of the graft and proper healing in the augmentation area.

Content of the expert video

The keratinised gingiva is extended using a free connective tissue graft. Using sling sutures, the graft is secured in a stable position in the graft bed with pressure applied across a wide area.
The keratinised gingiva is extended using a free connective tissue graft. Using sling sutures, the graft is secured in a stable position in the graft bed with pressure applied across a wide area.
The vertical incision is made along the mucogingival junction, with a slight mesial curve for relief.
The vertical incision is made along the mucogingival junction, with a slight mesial curve for relief.
The mobile connective tissue fibres are carefully removed from the periosteum in order to prepare a stable graft bed.
The mobile connective tissue fibres are carefully removed from the periosteum in order to prepare a stable graft bed.
The thinned mucosa flap is secured in an apical position.
The thinned mucosa flap is secured in an apical position.
A free gingival (mucosa) graft of even thickness is taken from the palate.
A free gingival (mucosa) graft of even thickness is taken from the palate.

The expert

Prof. Dr. Markus Hürzeler

Private practice Hürzeler/Zuhr in Munich

  • Practising dentist in the joint practice Hürzeler/Zuhr in Munich
  • 2003 Conferment of degree; adjunct professor by the Albert-Ludwigs University in Freiburg
  • Specialist for periodontology (medical specialist equivalent) according to the Swiss (SSP) and German Association of Periodontology (DGP)
  • Specialist for prosthetics (medical specialist equivalent) according to the German Association for Dental Prosthetics and Materials Science (DGZPW)
  • Professorship at the Albert-Ludwigs University in Freiburg and at the University of Texas in Houston / Texas / USA
  • more »
  • botiss dental Gmbh
  • Henry Schein
  • DZR
  • CAMLOG
  • CLINICAL HOUSE EUROPE
  • Komet/Gebr. Brasseler GmbH &Co KG
  • DSI DentaScience Institute®
  • Kuraray
  • BEGO Implant Systems GmbH & Co. KG
  • Zimmer Dental
  • IDI-PARO
  • IPI München
  • Sirona
  • Align Technology Inc.
  • Mectron
  • Health AG
  • Dentsply Sirona Implants
  • W&H Deutschland GmbH

Dental Online College: professional training + continuing education
in dental medicine, dentistry and oral surgery.

The Dental Online College is an online learning platform for dental surgeons and students. This service focuses on providing superior-quality professional training videos in the area of dental medicine that can be called up from an Internet platform. As a professional online training platform, the Dental Online College provides dental surgeons and students with instruction in surgical procedure, demonstrating challenging surgical techniques using easy to understand videos, and including interviews that provide further detail, video presentations, and documentation on performing the procedures in question.

Follow us on:

Service and membership hotline:

+49 2234 70 11 532

Subscribe to newsletter


Subscribe to newsletter»