CONTEMPORARY ESTHETIC PERIODONTICS
Figure 22 . Clinical intraoperative photograph showing the graft stabilized and immobilized via periosteal and single interrupted sutures
Figure 23 . Clinical photograph of the recipient site 1 week after surgery
A
B Figures 24a and 24b . Clinical photographs of the recipient site preoperative and 8-weeks after surgery
Case Management After the administration of anesthesia to the recipient site via local infiltrations on the buccal and lingual aspect of the mandibular right posterior region , the recipient site ’ s epithelium , CT , and muscle fibers were sharply dissected down to the periosteum using 15c and 12 blades and micro-scissors to create a large recipient bed around the buccal aspect of healing abutment ( Fig . 20 ). Immediately after , a Free Gingival Graft was harvested from the right side of the palate using a new 15c blade ( Fig . 21 ). The graft was immediately transferred to the recipient site , which was stabilized and immobilized via periosteal and single interrupted sutures with 4.0 chromic gut sutures ( Fig . 22 ). Finally , tactile pressure was placed over the graft to remove any blood clots between the graft and recipient bed and to achieve close adaptation of the graft . No periodontal dressing was used to cover the graft and the patient was instructed to follow a liquid diet for the first 24 hours , followed by a soft diet for the remaining week and eat on the left side only . The patient was instructed to refrain from oral hygiene practices
220 STOMA . EDUJ ( 2016 ) 3 ( 2 )