title: Restoration of gingival and esthetic deformities following flap advancement: the physiologically pigmented gingival graft--a case report.
abstract: The coronal advancement of surgical flaps and subsequent shift of the mucogingival junction during bone augmentation procedures are common. These mucogingival alterations may become a challenge to manage in the maxillary anterior region among patients with a high lip line upon smiling or high esthetic demands. To further complicate matters, the presence of physiologic gingival pigmentation in the esthetic zone creates challenges of its own. In this case, a free gingival graft from the buccal gingiva of the maxillary molars was used to correct the mucogingival deformity created from a guided bone regeneration procedure.
authors.affiliation: Department of Periodontology, Tufts University School of Dental Medicine, Boston, Massachusetts 02111, USA. chamer50@gmail.com
authors.forename: Eduardo
authors.initials: E
authors.lastname: Marcuschamer
authors.forename: Teppei
authors.initials: T
authors.lastname: Tsukiyama
authors.forename: Hidetada
authors.initials: H
authors.lastname: Moroi
authors.forename: Charles E
authors.initials: CE
authors.lastname: Hawley
authors.forename: Terrence J
authors.initials: TJ
authors.lastname: Griffin
mesh_terms: D000328:Adult; D001741:Black or African American; D000540:Alveolar Ridge Augmentation; D003758:Dental Implantation, Endosseous; D004955:Esthetics, Dental; D005260:Female; D005881:Gingiva / Q000601:surgery*; D005893:Gingivoplasty / Q000379:methods*; D006801:Humans; D007576:Jaw, Edentulous, Partially / Q000601:surgery; D008437:Maxilla / Q000601:surgery*; D010859:Pigmentation Disorders / Q000601:surgery*; D016038:Skin Transplantation / Q000379:methods*; D012904:Smiling; D013524:Surgical Flaps