Simultaneous placement of an interpositional free gingival graft with nonsubmerged implant placement

Joo Yeon Sohn, Jung Chul Park, Kyoo Sung Cho, Chang Sung Kim

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)


Purpose: Various surgical techniques target achieving adequate keratinized tissue around dental implants; however, these techniques are usually performed before implant placement or upon the exposure of submerged implants. The aim of this case report is to describe a simultaneous placement of an interpositional free gingival graft (iFGG) with that of nonsubmerged implants in a patient lacking keratinized tissue and to assess the longterm outcome of this grafted gingiva. Methods: A wedge-shaped free gingnival graft (FGG), including an epithelium-connective tissue (E-C) portion and a connective-tissue-only (CT) portion, was harvested from the palate. The CT portion was inserted under the buccal flap, and the E-C portion was secured tightly around the implants and to the lingual flap. Results: At the 8-year follow-up, the gingival graft remained firmly attached and was well maintained, with no conspicuous shrinkage or reported discomfort during oral hygiene procedures. The use of an iFGG at a nonsubmerged implant placement minimizes the required number of surgical steps and patient discomfort while providing adequate buccal keratinized tissue. Conclusions: Therefore, the technique could be considered an alternative method in increasing the keratinized tissue for cases that have a minimal amount of keratinized tissue.

Original languageEnglish
Pages (from-to)94-99
Number of pages6
JournalJournal of Periodontal and Implant Science
Issue number2
Publication statusPublished - 2014

All Science Journal Classification (ASJC) codes

  • Oral Surgery
  • Periodontics


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