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CC BY-NC-ND 4.0 · Eur J Dent 2016; 10(03): 432-434
DOI: 10.4103/1305-7456.184154
Case Report
Dental Investigation Society

Free gingival grafting procedure after excisional biopsy, 12-year follow-up

Ilker Keskiner
1   Department of Periodontology, Faculty of Dentistry, Ondokuz Mayis University, Samsun, Turkiye
,
B. Arzu Alkan
2   Department of Periodontology, Faculty of Dentistry, Erciyes University, Kayseri, Turkiye
,
Zekeriya Tasdemir
2   Department of Periodontology, Faculty of Dentistry, Erciyes University, Kayseri, Turkiye
› Author Affiliations
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Publication History

Publication Date:
24 September 2019 (online)

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ABSTRACT

The total removal of a lesion via excisional biopsy causes gingival recession, resulting in dentin hypersensitivity and esthetical problems. In this case report, a gingival recession defect resulting from an excisional biopsy was treated with a free gingival grafting procedure performed during the same appointment, and its 12-year follow-up was presented. A 44-year-old female patient was presented to our clinic with a firm, pedunculated, red gingival enlargement located on the labial surface of lower incisors. The exposed root surface, after the excisional biopsy, was covered with a free gingival graft. The lesion was pathologically diagnosed as pyogenic granuloma, and in the early postoperative phase, no recurrence was observed, but partial root coverage was determined. At 6-month follow-up, root coverage resulting from “creeping attachment” was observed, and this situation was maintained throughout the 12-year follow-up period. Repetitious postoperative discomfort and emotional stress for the patient may be avoided with a timesaving single appointment performing excisional biopsy and free gingival graft. Free gingival grafting procedure was used for this purpose not only to cover exposed root surfaces but also to eliminate dentin hypersensitivity and make oral hygiene procedures more effective.

Key words:

Excisional biopsy - free gingival graft - pyogenic granuloma
 

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