Versatility of Free Gingival Autograft for Diverse Clinical Indications: A Case Series

Mahenigar, Tabassum

Abstract: Background: Adequate width of attached gingiva and favorable mucogingival architecture are essential for periodontal health, restorative stability, and esthetics. A Free gingival graft (FGG) has long been regarded as a predictable technique to enhance the quantity of keratinized tissue. Its application extends across various clinical scenarios, including coverage of localized gingival recession defects, vestibular deepening, and augmentation of inadequate attached gingiva. Objective: This case series aimed to demonstrate the efficacy and versatility of FGG performed for different therapeutic indications: root coverage of Miller Class II/III recession, deepening of a shallow vestibule, and increasing the width of attached gingiva. Methods: Three patients with distinct mucogingival concerns were treated with FGG harvested from the palatal donor site. Case 1 involved vestibuloplasty with FGG to address a high muscle attachment and inadequate vestibular depth; Case 2 involved root coverage of a mandibular anterior recession defect; Case 3 addressed insufficient attached gingiva around mandibular incisors. All cases were evaluated clinically for graft survival, gain in keratinized tissue, reduction in recession depth, vestibular depth, and patient-reported outcomes, including esthetic satisfaction and postoperative comfort. Results: In all cases, the grafts demonstrated uneventful healing and satisfactory integration with recipient sites. Case 1 revealed a marked increase in vestibular depth and improved ease of oral hygiene. Case 2 showed a significant reduction in recession depth with partial root coverage and improved esthetics. Case 3 achieved a notable increase in attached gingiva width. All the Patients reported improved function, comfort, and satisfaction with overall outcomes. Conclusion: Free gingival graft remains a versatile and reliable periodontal plastic surgical procedure for a range of clinical indications. Its ability to enhance both functional and esthetic parameters makes it valuable for managing mucogingival deficiencies, reinforcing its role in comprehensive periodontal care.

Keywords: Attached gingiva, Free gingival graft, Gingival recession defect, Keratinized tissue, Mucogingival surgery, Root coverage, Vestibuloplasty

How to Cite?: Mahenigar, Tabassum, "Versatility of Free Gingival Autograft for Diverse Clinical Indications: A Case Series", Volume 14 Issue 10, October 2025, International Journal of Science and Research (IJSR), Pages: 1571-1576, https://www.ijsr.net/getabstract.php?paperid=MR251028185223, DOI: https://dx.doi.org/10.21275/MR251028185223