Free Gingival Grafts (FGGs) in Mandibular Posterior Sites

Flap will be separated by sharp dissection and elevated toward apical direction, leaving the periosteum covering the bone, and the elevated pedicle flap will be incised and removed.

Full-thickness (mucoperiosteal) flap will be raised on the recipient bed to establish a denuded bone area. Two bone screws will be placed at the most apical border of the denuded bone.

Two bone screws placed at the most apical border of the denuded bone after osteotomy.

Interrupted periosteal sutures placed at the 4 corners of each graft, and mesial and distal surfaces to engage the graft at an equidistance from the graft corners.

Crossed sling sutures placed over the graft engaging the fixed crestal/lingual KT coronally and the periosteum apically.

Crossed sling sutures placed over the graft engaging the fixed crestal/lingual KT coronally and each is apically looped around the corresponding apically positioned screw.