De-epithelialized Free Gingival Graft for Gingival Augmentation: A Case Report

Gingival recession is a commonly encountered mucogingival condition that may lead to root exposure, dentinal hypersensitivity, and compromised aesthetics. Various surgical techniques have been proposed for root coverage, among which the de-epithelialized free gingival graft (DFGG) combines the advantages of both free gingival grafts (FGGs) and connective tissue grafts. A 26-year-old male patient presented with gingival recession in relation to mandibular central incisors (31 and 41). An FGG was harvested from the palatal donor site using a scalpel and subsequently de-epithelialized extraorally using a laser to obtain a connective tissue graft. The graft was placed at the recipient site and stabilized with sutures. Healing was uneventful, and a significant reduction in gingival recession was observed, along with an increase in the width of keratinized gingiva and improved aesthetic outcome. Laser-assisted DFGG appears to be a predictable and effective technique for the treatment of gingival recession, providing favorable clinical and aesthetic outcomes.