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   Official Journal of The Academy of Osseointegration

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Volume 33 , Issue 5
September/October 2013

Pages 591–597

Restoration of Gingival and Esthetic Deformities Following Flap Advancement: The Physiologically Pigmented Gingival Graft—A Case Report

Eduardo Marcuschamer, DDS/Teppei Tsukiyama, DDS/Hidetada Moroi, DMD/Charles E. Hawley, DDS, MS, PhD/Terrence J. Griffin, DMD5

PMID: 23998155
DOI: 10.11607/prd.1252

The coronal advancement of surgical flaps and subsequent shift of the mucogingival junction during bone augmentation procedures are common. These mucogingival alterations may become a challenge to manage in the maxillary anterior region among patients with a high lip line upon smiling or high esthetic demands. To further complicate matters, the presence of physiologic gingival pigmentation in the esthetic zone creates challenges of its own. In this case, a free gingival graft from the buccal gingiva of the maxillary molars was used to correct the mucogingival deformity created from a guided bone regeneration procedure. (Int J Periodontics Restorative Dent 2013;33:591–597. doi: 10.11607/prd.1252)

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