The most difficult and time-consuming step in the free gingival graft (FGG) for keratinized mucosa augmentation is the compression suture anchoring the FGG to the periosteum. In this article, a novel “microscrew with tie-down sutures” technique was proposed to anchor the FGG to the recipient site without the traditional trans-periosteum suture. This patient’s keratinized mucosa width (KMW) around the healing abutments of teeth #29 and #30 was less than 1 mm. After an apically positioned flap (AFP) was prepared, two microscrews were placed at the buccal plate of the alveolar ridge bone, which is the coronal margin of the AFP. Then, the sutures winded between the microscrews and the healing abutments to anchor the FGG. In conclusion, the “microscrew with tie-down sutures” technique offers a feasible and simple alternative for the trans-periosteum compression suture, particularly in situations when the periosteum is fragile, thin, or injured.
Skip Nav Destination
Article navigation
case report|
February 13 2024
A novel “microscrew with tie-down sutures” technique for FGG anchorage: A case report
Anbin Xu, DDS;
ICHIER Dental, 65 Xinhua Road, Jianghan District, Wuhan, 430000, P. R. China
Search for other works by this author on:
Tao Wu, PhD;
State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, 237 Luoyu Road, Wuhan 430079, P. R. China
Department of Prosthodontics and Implant Dentistry, Guanggu Branch of Hospital of Stomatology, Wuhan University, Wuhan, 430079, P. R. China
Search for other works by this author on:
Jiahui Sun, M.S;
Jiahui Sun, M.S
State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, 237 Luoyu Road, Wuhan 430079, P. R. China
Search for other works by this author on:
Bo Huang, PhD;
Bo Huang, PhD
Faculty of Dentistry, University of Toronto, Toronto, ON M5G 1G6, Canada
Search for other works by this author on:
Liujixiang Wang, M.S;
Liujixiang Wang, M.S
State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, 237 Luoyu Road, Wuhan 430079, P. R. China
Search for other works by this author on:
Yi Liu, PhD;
Yi Liu, PhD
Department of Stomatology, Huangshi Central Hospital, Affiliated Hospital of Hubei Polytechnic University, Edong Healthcare Group, Huangshi, PR China.
Search for other works by this author on:
Yi Zhou, PhD
Yi Zhou, PhD
*
State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, 237 Luoyu Road, Wuhan 430079, P. R. China
Department of Prosthodontics and Implant Dentistry, Guanggu Branch of Hospital of Stomatology, Wuhan University, Wuhan, 430079, P. R. China
*Corresponding author. Department of Prosthodontics, School and Hospital of Stomatology, Wuhan University, Wuhan, 430079, P. R. China (Yi Zhou) Telephone: 8613986269079 Yi Zhou) [email protected]
Search for other works by this author on:
J Oral Implantol (2024)
Citation
Anbin Xu, Tao Wu, Jiahui Sun, Bo Huang, Liujixiang Wang, Yi Liu, Yi Zhou; A novel “microscrew with tie-down sutures” technique for FGG anchorage: A case report. J Oral Implantol 2024; doi: https://doi.org/10.1563/aaid-joi-D-23-00140R2
Download citation file:
Sign in
Don't already have an account? Register
Client Account
You could not be signed in. Please check your email address / username and password and try again.
Could not validate captcha. Please try again.
Sign in via your Institution
Sign in via your Institution
107
Views
Citing articles via
Mucosal Coverage of Deeply Protruded Implant in The Maxillary Sinus: A Case Report
Won-Bae Park, DMD, PhD, Joshua Lin, DDS, Wonhee Park, DDS, PhD, Ji-Young Han, DMD,PhD, Philip Kang, DDS
Technique to Protect the Palatal Donor Area After Taking a Free Gingival Graft: Patchwork Technique
Martín Laguna-Martos, DDS, Rocío Cascos, DDS, Óscar Iglesias-Velázquez, DDS, Miguel Gómez-Polo, DDS, PhD, Solange Vasquez-Ramos, DDS, MSD, Adriana Castro-Calderón, DDS
Management of dental implant components following abutment screw loosening: A case report
Chandur Wadhwani, BDS, MSD, Shi Yin, DDS MS, Scott Froum, DDS CTN, Hanson Fong, PhD, Kwok-Hung Chung, DDS MS PhD
Application of Fixed Implant Superstructures following Multi- Stage Maxillary Reconstruction in Osteosarcoma Patients: A case report
Sho Miyamoto, DDS PhD, Hironari Dehari, DDS PhD, Takaaki Tokura, DDS PhD, Takanori Sasaki, DDS PhD, Tomohiro Igarashi, DDS PhD, Shunichi Shimura, DDS PhD, Koyo Nishiyama, DDS PhD, Kenya Mori, DDS, Takatoshi Yotsuyanagi, MD PhD, Akihiro Miyazaki, DDS PhD
Stress Distribution Analysis in Bone Adjacent to Implant in Various Abutment-Implant Connection Designs Using Finite Element Analysis
Ehsan Ghasemi, MSc, Amirhossein Fathi, DDS, MSc, Daryoush Mohammadi, DDs, Sepideh Salehi, DDs