This review analyzes the current state of the problem of creating the area of keratinized and attached gingiva in dental implantology. Apically positioned flap with a free gingival graft (FGG) placement is considered the gold standard in the oral soft tissue plastic surgery. It is noted that the periosteal or connective tissue recipient bed is an important prerequisite to graft revascularization and survival. FGGs placed on the periosteum often display clinical mobility while grafts fixed on denuded alveolar bone predictably create a firmly attached band of keratinized gingiva. The development of specific techniques and methods for fixing the FGG on bone bed have special priority. Exploring rigid fixation of the graft, as well as cellular and molecular mechanisms that determine the dynamics of the regenerative processes at the graft-bed interface has great clinical potential.

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About the authors

S. S Edranov

Department of histology Pacific State Medical University of the Ministry of Public Health of the Russian Federation

Author for correspondence.
690002, Vladivostok, Russia

R. A Kerzikov

Department of histology Pacific State Medical University of the Ministry of Public Health of the Russian Federation

690002, Vladivostok, Russia


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