ArticleJournal of surgical case reports2026
A novel technique utilizing a free gingival graft to treat a suprabony pocket distal to the mandibular second molar: a case report.
Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
To describe a novel free gingival graft (FGG) technique, the 'M-saddle FGG technique' for treating non-keratinized tissue distal to a mandibular second molar associated with a suprabony periodontal pocket, inflammation, and patient discomfort. A 30-year-old patient presented with persistent discomfort, bleeding, food impaction, a 6-mm suprabony periodontal pocket distal to tooth #3.7, 1 mm of keratinized tissue width (KTW), and reduced vestibular depth (VD). A modified horseshoe-shaped FGG was harvested from the palate and adapted over the distal crest and buccal periosteum. Outcomes were assessed after 3 months. At 3 months, discomfort, inflammation, and soft tissue trauma during function were completely resolved. KTW and VD both increased by 4 mm, and periodontal probing depths reduced by 3 mm. The 'M-Saddle FGG technique' improved KTW, periodontal parameters, VD, and patient comfort, representing a promising novel treatment option for selected mandibular second molar mucogingival defects and suprabony periodontal pockets.
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