The Strip Gingival Autograft Technique. - Thomas Han fileThe Strip Gingival Autograft Technique. Int...
Transcript of The Strip Gingival Autograft Technique. - Thomas Han fileThe Strip Gingival Autograft Technique. Int...
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Han TJ, Takei HH, Carranza FA
The Strip Gingival Autograft Technique.
Int J Perio Rest Dent 13:181, 1993.
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Clinical Periodontics
Contributing Factors
Systemic Disease
Faulty Restoration
Tooth Anatomy
Disease Factors
Resective
Preservation (simultaneous)
Socket
Ridge
Papilla
Soft Tissue
Hard Tissue
Tooth
Non-surgical Surgical
Sc & RP Curettage Chemotherapy
Regenerative
Non-Graft
Graft
Anatomical Factors
Mucogingival Esthetics/Prosthetic
Frenum
Att. Gingiva
Autograft
Allograft
Resective
Regenerative
Soft Tissue
Hard Tissue
Soft Tissue
Hard Tissue
Combination
Occlusal Trauma
Regeneration
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Clinical Periodontics
Contributing Factors
Disease Factors
Anatomical Factors
Mucogingival
Frenum
Attached Gingiva
Autograft
Allograft
Frenectomy Frenotomy
Pedicle Graft
Free Graft FGG CTG
Alloderm Fascia Dura mata
Strip Accordion
Esthetics/Prosthetic
Tissue Engine.
Apical Lateral Coronal
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The strip gingival graft is used only to add keratinized, attached gingiva apical to the area of the
recession
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The donor site wound created by free gingival grafting heals by secondary intention. It is often painful, takes 2-3
weeks to epithelialize, and difficult to manage hemastasis.
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Advantage of the strip technique is that it creates minimal
trauma to the donor site, resulting in less discomfort.
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Wound healing of donor ٛsite following strip graft ٛ
removal is uneventful and isٛ rapidly epithelialized (<10 days)
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DONOR SITE
• Strips are usually 2 to 3mm. Wide and should be as thin as possible ٛ(0.50 to 0.75mm thick). • Donor site does not require sutures.
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RECIPIENT SITE
• Dry foil is placed over the strip without suturing and a surgical dressing is always used.
• Gut mattress sutures from the apical portion of the recipient site to the coronal portion can be placed to stabilize the strips.
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***It has been clinically observed ٛthat the amount of keratinized ٛattached gingiva gained with this ٛtechnique is roughly equivalent ٛto the total widths of the strips ٛplaced on the recipient site.
Video
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Han TJ, Klekkevold P, Takei HH.ٛ
The Strip Gingival Autograft ٛTechnique used for the ٛCorrection of Mucogingival ٛProblem Around Implantsٛ
Int J Perio Rest Dent 15(4):405-410,1995
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