Use of the Free Gingival Grafting Technique for soft tissue reconstruction after excision of a Peripheral Ossifying Fibroma

The Peripheral Ossifying Fibroma is a benign tumor that develops from a hyperplastic tissue reaction, usually related to traumatic stimulus that are responsible for triggering inflammatory reactions of the connective tissue. Histologically, it is a nodular mass characterized by a dense connective tissue, surrounded by stratified squamous epithelium. Surgical removal in these cases is indicated, and for reconstruction of soft tissue in the region, some periodontal surgical techniques are recommended, such as free gingival grafting. Thus, the present study aims to report a clinical case submitted to the free gingival graft technique for tissue reconstruction after the surgical removal of a fibroma. A total excision of the lesion was performed, later sent to a histopathological report where it was diagnosed as Peripheral Ossifying Fibroma, after the removal of the lesion the region was left with the periosteum exposed and then the free gingival graft was performed to cover the region and promote keratinized gum augmentation. This technique proved to be efficient for reconstruction of soft tissue in the region after surgical removal of the Peripheral Ossifying Fibroma, returning aesthetics, function and periodontal health.

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Soft Tissue Reconstruction with Free Gingival Graft Technique following Excision of a Fibroma

Case Reports in Dentistry ◽

10.1155/2015/248363 ◽

2015 ◽

Vol 2015 ◽

pp. 1-4

Author(s):

Nurcan Tezci ◽

Suleyman Emre Meseli ◽

Burcu Karaduman ◽

Serap Dogan ◽

Sabri Hasan Meric

Keyword(s):

Case Report ◽

Connective Tissue ◽

Squamous Epithelium ◽

Alveolar Bone ◽

Periodontal Treatment ◽

Soft Tissue Reconstruction ◽

Free Gingival Graft ◽

Tissue Reconstruction ◽

Stratified Squamous Epithelium ◽

Gingival Graft

Background. Oral fibromas are benign, asymptomatic, smooth surfaced, firm structured tumoral lesions that originate from gingival connective tissue or periodontal ligament. Histologically, they are nodular masses characterized by a dense connective tissue, surrounded by stratified squamous epithelium.Case Report. This case report includes the clinical, radiographical, and histological findings and periodontal treatment of a 38-year-old female patient having painless swelling on the gingiva. Intraoral examination revealed a fibrotic, sessile, smooth surfaced gingival overgrowth interdentally between the teeth #13 and #14. Radiographical findings were normal. Initial periodontal treatment (IPT) was applied including oral hygiene instructions, scaling, and root planing. Following IPT, the lesion (0.7 × 0.6 × 0.4 cm) was excised and examined histopathologically. Subsequently, flap operation was performed to have an access to alveolar bone. Surgical site was reconstructed with free gingival graft obtained from hard palate. Hematoxylin-eosin stained sections revealed a nodular mass composed by dense collagen fibers in lamina propria covered by a stratified squamous epithelium, which were consistent with fibroma. Gingival healing was uneventful and without any recurrence during the 12-month follow-up.Conclusions. In order to achieve optimal functional and aesthetical outcomes, free gingival graft can be used for the reconstruction of the wound site after the excision of the fibroma.

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The histological changes of soft tissue reconstruction in palate and peri‐implant after free gingival graft

Clinical Oral Implants Research ◽

10.1111/clr.262_13509 ◽

2019 ◽

Vol 30 (S19) ◽

pp. 306-306

Author(s):

Yong Wen

Keyword(s):

Soft Tissue ◽

Soft Tissue Reconstruction ◽

Histological Changes ◽

Free Gingival Graft ◽

Tissue Reconstruction ◽

Gingival Graft

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Calvarial Reconstruction Following Massive Tissue Loss: A Feasible Treatment Strategy and Surgical Technique

Operative Neurosurgery ◽

10.1093/ons/opaa371 ◽

2020 ◽

Author(s):

Luzie Hofmann ◽

Masood Rafizadeh Rashid ◽

Christopher Ludtka ◽

Stefan Schwan ◽

Thomas Mendel ◽

...

Keyword(s):

Soft Tissue ◽

Minimally Invasive ◽

Surgical Techniques ◽

Tissue Loss ◽

Cranial Bone ◽

Soft Tissue Reconstruction ◽

Full Thickness ◽

Soft Tissue Healing ◽

Tissue Healing ◽

Tissue Reconstruction

Abstract BACKGROUND Severe cranial injuries require reconstructive surgeries to protect the underlying brain and to restore cranial contour and scalp integrity, as well as avoid complications such as neurocognitive decline. In cases of full-thickness cranial tissue damage, adept surgical skill in both bone and soft tissue reconstruction is critical for a minimally invasive surgery and successful bone integration without endangering previous soft tissue efforts. Different surgical techniques and materials are beset with various problems. OBJECTIVE To present a surgical procedure intended for the reconstruction of complex calvarial and associated tissue defects with reduced invasiveness and improved soft tissue healing compared to the existing gold standard. Both soft tissue and bone reconstruction techniques are described in detail due to their intertwined importance for successful full thickness skull and scalp reconstruction. METHODS During initial medical care, aseptic wound treatment and temporary wound closure are performed. Two weeks postinjury, extensive necrotic tissue debridement and soft tissue reconstruction lay the foundation for well-vascularized tissue regeneration. Soft tissue healing is followed by minimally invasive cranioplasty using autologous split-rib transplants after approximately 6 mo. RESULTS With consideration of the established gold standards for treatment, soft tissue regenerated without complications. The minimally invasive insertion of autologous rib grafts underneath the healed soft tissue allowed for quick recovery without requiring further follow-up treatments. CONCLUSION We optimized initial scalp wound healing and bone regeneration by making use of minimally invasive procedures and autologous materials, offering a viable treatment alternative to existing methods for treating large cranial bone injuries.

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Surgical Management of Gingival Recession Using Free Gingival Autograft: A Case Report

Journal of Nepalese Society of Periodontology and Oral Implantology ◽

10.3126/jnspoi.v3i2.30890 ◽

2019 ◽

Vol 3 (2) ◽

pp. 81-83

Author(s):

Manisha Neupane ◽

Manoj Humagain ◽

Mahima Subba ◽

Simant Lamichhane ◽

Asmita Dawadi

Keyword(s):

Case Report ◽

Soft Tissue ◽

Surgical Techniques ◽

Gingival Recession ◽

Free Gingival Graft ◽

Tissue Graft ◽

Soft Tissue Graft ◽

Tunnel Technique ◽

Rotational Flap ◽

Gingival Graft

Gingival recession leads to dentinal hypersensitivity, aesthetic problems, root caries, cervical abrasion and difficulty in oral hygiene maintenance. Managing gingival recession often is a great challenge for practitioners. Different surgical techniques have been advocated for root coverage like free soft tissue graft procedures free gingival graft and sub-epithelial connective tissue graft, pedicle soft tissue graft rotational flap and flap advancement, pouch and tunnel technique and guided tissue regeneration. This case report displays use of free gingival graft for management of patient of age 22 years with Miller’s Class I recession defect in lower left mandibular central incisor.

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