Published in June 1986
Free gingival autograft with connective tissue and protection of donor zone with a mucous flap
Physician and Surgeon specializing in Dentistry. Periodontist.
Piazza Repubblica 4, 09129 Cagliari, Italy.
tel ++39 070 498159, fax ++39 070 400164
web site
insufficient adhering gum zone in 3.4


1. Horizontal incision to detach mucous flap 2. The receiving bed is prepared, the periosteum is bared and a stitch is used to stabilize the flap on the periosteum
3. Preparation of the mucous flap on an edentate col
4. This is how the flap appears once raised 5. Preparation of the connective graft
6. The connective tissue is separated from tissues above and below 7. The partial-thickness flap is sutured again


8. Preparation of connective tissue for the graft
9-10. Positioning and immobilization of graft on receiving bed
11. The graft after sixty days: blending is quite good



1. M. BISSADA, S. SEARS, "Quantitative assessment of free gingival grafts with and without periosteum and osseous perforation", Journal of Periodontics, 49, 15-20, 1978
2. J. BUSSCHOP, J. DE BOEVEB, H. ScHwvn'zr, "Revascularization of gingival autografts placed on different receptor beds. A fluoroangiogra- phic study", Journal of Clinical Periodontology, v. 10, n. 3, 327-331, 1983
3. R. CIANCAGLINI, "Adattamento morfofunzionale degli autoinnesti gengivali", Atti del II Convegno S.I.d.P. di Firenze, abstr. n. 4, 50-68, marzo 1983
4. S. COTTI, G. PETTI, I. PES, "Gli innesti liberi,di gengiva in terapia parodontale", Rassegna medica Sarda, fasc. LXXX/6, 1-5, 1977
5. H.S. DORFMAN, J.E. KENNEDY, W.C. BtaD, "Longitudinal evaluation of free autoqenous gingival grafts", Journal of Clinical Periodontology, 7, 316-324, 1980
6. U. HAGORSKY, N. BISSADA, "Clinical assessment of free gingival graft effectiveness on the maintenance of periodon]al health", Journal of Clinical Periodontology, 51, 274-278, 1980
7. H.C. SULLIVAN, J.H. ATKINS, eFree autogenous gingival grafts. I. Principles of successful grafting", Periodontics, 6, 5-13, 1968 DWL