**5. Mucogingival graft surgery**

#### **5.1 Background**

Limitation

*(b) The flap positioned apically.*

**Figure 11.**

*Oral Diseases*

**4.4 Gingivectomy**

contouring. Advantages

**206**

• Not applicable in the palatal tissue

Beveled incision excises the supra-gingival pocket and allows for gingival re-

*Apically repositioned flap for periodontal surgery. (a) The bevel, scalloped incision for pocket elimination.*

• Suitable for gingival hypertrophy (supra-alveolar pocket)

• Re-contouring severely damaged gingival tissues

Mucogingival graft surgery aims at the correction of local gingival defects. It will be conducted if changing the morphology of gingival margin improves the plaque control, high frenal attachment, and severe gingival recession.

#### **5.2 Split thickness flap**

Raising partial soft tissues and leaving the mucoperiosteum attached to the bone are commonly used techniques to address such mucogingival problems. Moreover, pedicle flap includes either laterally, coronally, or double papilla repositioned flaps. The flaps are indicated in very narrow areas of isolated gingival recession or even in the presence of wide recession with adequate door tissues on either side [15].
