Gingival recession on single teeth or groups of teeth beyond the
muco-gingival line where no adjacent donor site is available.
Method
Make a template of original defect with tinfoil.
Harvest adequate tissue (greater than 2.5 times in width and
length) from another site within attached gingiva that has sufficient
width (e.g. below LM1 or upper canine).
Place graft on a swab saturated with saline.
Tack edges with Tissu-Glu™ (Ellman Veterinary) or superglue
and suture with 5/0 absorbable suture with swaged cutting needle.
Push graft onto periosteum with finger pressure for 2 to 3
minutes to prevent blood clot formation underneath.
Apply a dressing of Tinct. Myrrh and Benzoin and flush the
site twice daily with chlorhexidine (CHX Guard Solution™:
St Jon VRx).
