Aesthetic improvements in free gingival graft due to its association with frenectomy

Resumo

The insufficient amount of attached gingiva and the
abnormal insertion of the labial frenulum may be related. When this
occurs, it is common to associate frenectomy techniques with free
gingival graft (FGG). Objective: To evaluate the clinical and histological
staining difference and blood flow when the FGG is or is not associated
with frenectomy. Material and methods: Ten patients were selected
in the Dentistry Clinics of the Positivo University and divided into two
groups (n = 5): group GF (graft/frenectomy), with association of FGG
and frenectomy in the V sextant, and group G (graft), in which only
the FGG was performed in the V sextant. Clinical examination, initial
standardized photographs and post-surgery following-up for seven, 14
and 21 days were executed. For histological analysis the excesses of
the graft tissues of a patient from each group were removed. Results:
Clinically, it was observed in both groups after seven and 14 postoperative days, superficial necrosis of the tissue and color similar to
the surrounding soft tissue. At 21 days, there is the total reduction of
the necrosed tissue, and it was not seen the color difference between
groups. Histologically, the difference between groups is related to the
epithelial tissue, which was thicker in group G. Conclusion: Clinical
(color) and histological (vascularization) significant differences were not
observed between groups GF and G.