CONTEMPORARY ESTHETIC PERIODONTICS
Figure 22. Clinical intraoperative photograph showing the graft stabilized and immobilized via periosteal and single interrupted sutures
Figure 23. Clinical photograph of the recipient site 1 week after surgery
A
B Figures 24a and 24b. Clinical photographs of the recipient site preoperative and 8-weeks after surgery
Case Management After the administration of anesthesia to the recipient site via local infiltrations on the buccal and lingual aspect of the mandibular right posterior region, the recipient site’ s epithelium, CT, and muscle fibers were sharply dissected down to the periosteum using 15c and 12 blades and micro-scissors to create a large recipient bed around the buccal aspect of healing abutment( Fig. 20). Immediately after, a Free Gingival Graft was harvested from the right side of the palate using a new 15c blade( Fig. 21). The graft was immediately transferred to the recipient site, which was stabilized and immobilized via periosteal and single interrupted sutures with 4.0 chromic gut sutures( Fig. 22). Finally, tactile pressure was placed over the graft to remove any blood clots between the graft and recipient bed and to achieve close adaptation of the graft. No periodontal dressing was used to cover the graft and the patient was instructed to follow a liquid diet for the first 24 hours, followed by a soft diet for the remaining week and eat on the left side only. The patient was instructed to refrain from oral hygiene practices
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