Horizontal continuous and apical stretching sutures does not reduce FGG shrinkage: A split-mouth randomized controlled clinical trial

Abstract

Purpose This study aimed to evaluate whether horizontal continuous and apical stretching sutures could reduce FGG shrinkage. Materials and Methods In this randomized controlled clinical trial ten patients (20 sites, seven females and three males) ranging from 18 to 53 years (average 39 years) with insufficient keratinized and attached gingiva received FGG in two quadrants of mandible (splitmouth design). Horizontal continuous and apical stretching sutures were used in test sites in addition to common suturing techniques. Clinical parameters including probing depth (PD), the width of keratinized and attached gingiva (KG, AG), the horizontal and vertical dimension of the graft (HD, VD), and graft area (GA) were recorded at baseline and 1, 3, and six months after the operation. Results PD did not differ significantly for six months. The average change of other parameters in test and control sites respectively was as follows: KG increased 5.5 mm and 5.1 mm, AG increased 5.3 mm and 5.1 mm, HD shrinkage was 21.6% and 15.8%, VD shrinkage was 33.7% and 33.2%, GA shrinkage was 47.3% and 43.3%. There were no significant differences between test and control sites in clinical parameters six months after surgery. Conclusion Application of horizontal continuous and apical stretching sutures does not reduce FGG shrinkage.

Keywords

• free gingival graft
• graft shrinkage
• continuous horizontal suture
• apical stretching suture
• probing depth