JIACD
The Journal of Implant & Advanced Clinical Dentistry
FGG vs CTG for root coverage
Sat, 03/14/2009 - 11:21 — Dr. Pratt
I talked to one of my local periodontists that I refer to and he says he likes connective tissue grafts for root coverage and doesn't do many free ginigival grafts unless he is looking to augment the zone of attached tissue. I read PD Miller article recently and he got great results for root coverage using FGG. I am wondering why FGG fell out of favor?
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Hands Down CTG over FGG for Root coverage.
I hardly do FGG grafts anymore. I think you get the best root coverage in terms of %coverage and color match with a CTG over a FGG.
I agree read some of the classics, bruno, langer, radzke and compare to PD Miller.
Barbs
CTG VS FGG this is a No Brainer
There are many studys that show CTG are superior to FGG in regards to coverage, color match, esthetics and so on.
Read some of the classics, bruno, langer, radzke and compare to PD Miller.
Key again is in the preparation of the site and your graft.
CTG versus FGG
Short answer from my periodontist I refer to:
CTG for root coverage
FGG to increase attached tissue and kg
Free Gingival Grafts
Free gingival grafts (FGG) fell by the wayside back in the 80's. Connective tissue grafts are less painful, offer better color match, and still increase zone of KG. CTG's are more technique sensitive than FGG in my opinion. FGG do have their place. Usually used in mandibular anterior for KG augmentation. Rarely, if ever, used as a treatment of choice for root coverage in modern perio plastics.
CTG vs FGG for root coverage
Quick answer, in my practice I use CTG for root coverage. I get better coverage and color match, which is supported by many studies. I tend to favor FGG when trying to augment the zone of attached tissue or removing a frenum.