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xmlns=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022 id=\u0022content-block-markup\u0022 xmlns:xhtml=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022\u003E\u003Cdiv class=\u0022article fulltext-view \u0022\u003E\u003Cspan class=\u0022highwire-journal-article-marker-start\u0022\u003E\u003C\/span\u003E\u003Cdiv class=\u0022section abstract\u0022 id=\u0022abstract-1\u0022\u003E\u003Ch2\u003ESummary\u003C\/h2\u003E\n            \u003Cp id=\u0022p-1\u0022\u003EThis article discusses current perspectives on the management of patients for soft tissue grafting for root coverage and ridge augmentation.\u003C\/p\u003E\n         \u003C\/div\u003E\u003Cul class=\u0022kwd-group\u0022\u003E\u003Cli class=\u0022kwd\u0022\u003EPeriodontics Surgical Procedures\u003C\/li\u003E\u003C\/ul\u003E\u003Cul class=\u0022kwd-group clinical-trial\u0022\u003E\u003Cli class=\u0022kwd\u0022\u003EPeriodontics\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003EDentistry\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003ESurgical Procedures\u003C\/li\u003E\u003C\/ul\u003E\u003Cp id=\u0022p-2\u0022\u003EIn an education course, Peter C. Shatz, DDS, Kennestone Periodontics PC, Atlanta, Georgia, USA, discussed current perspectives on the management of patients for soft tissue grafting for root coverage and ridge augmentation.\u003C\/p\u003E\u003Cdiv class=\u0022section\u0022 id=\u0022sec-1\u0022\u003E\n         \u003Ch2 class=\u0022\u0022\u003EHEALTHY PERIODONTIUM\u003C\/h2\u003E\n         \u003Cp id=\u0022p-3\u0022\u003EBecause periodontal health and tooth restoration are intertwined, Dr Shatz first reviewed the anatomy and physiology of the healthy periodontium.\u003C\/p\u003E\n         \u003Cp id=\u0022p-4\u0022\u003EThe gingiva functions as a natural biological seal that separates the oral cavity from the inside of the body, and it comprises numerous layers (\u003Ca id=\u0022xref-table-wrap-1-1\u0022 class=\u0022xref-table\u0022 href=\u0022#T1\u0022\u003ETable 1\u003C\/a\u003E).\u003C\/p\u003E\n         \u003Cdiv id=\u0022T1\u0022 class=\u0022table pos-float\u0022\u003E\u003Cdiv class=\u0022table-inline\u0022\u003E\u003Cdiv class=\u0022callout\u0022\u003E\u003Cspan\u003EView this table:\u003C\/span\u003E\u003Cul class=\u0022callout-links\u0022\u003E\u003Cli class=\u00220 first\u0022\u003E\u003Ca href=\u0022\/\u0022 class=\u0022table-expand-inline\u0022 data-table-url=\u0022\/highwire\/markup\/15014\/expansion?postprocessors=highwire_figures%2Chighwire_math%2Chighwire_inline_linked_media%2Chighwire_embed\u0026amp;table-expand-inline=1\u0022 html=\u00221\u0022 fragment=\u0022#\u0022 external=\u00221\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EView inline\u003C\/a\u003E\u003C\/li\u003E\u003Cli class=\u00221\u0022\u003E\u003Ca href=\u0022\/highwire\/markup\/15014\/expansion?width=1000\u0026amp;height=500\u0026amp;iframe=true\u0026amp;postprocessors=highwire_figures%2Chighwire_math%2Chighwire_inline_linked_media\u0022 class=\u0022colorbox colorbox-load table-expand-popup\u0022 rel=\u0022gallery-fragment-tables\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EView popup\u003C\/a\u003E\u003C\/li\u003E\u003Cli class=\u00222 last\u0022\u003E\u003Ca href=\u0022\/highwire\/powerpoint\/15014\u0022 class=\u0022highwire-figure-link highwire-figure-link-ppt\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EDownload powerpoint\u003C\/a\u003E\u003C\/li\u003E\u003C\/ul\u003E\u003C\/div\u003E\u003C\/div\u003E\u003Cdiv class=\u0022table-caption\u0022\u003E\u003Cspan class=\u0022table-label\u0022\u003ETable 1.\u003C\/span\u003E \n               \u003Cp id=\u0022p-5\u0022 class=\u0022first-child\u0022\u003EGingival Layers\u003C\/p\u003E\n            \u003Cdiv class=\u0022sb-div caption-clear\u0022\u003E\u003C\/div\u003E\u003C\/div\u003E\u003C\/div\u003E\n         \u003Cp id=\u0022p-6\u0022\u003EAccording to Dr Shatz, the biologic width includes a natural seal that develops around teeth and dental implants, protecting the alveolar bone from infection and disease. This represents the soft tissue that is attached to the portion of the tooth coronal to the crest of the alveolar bone, and it helps to preserve periodontal health and remove irritation that might damage the periodontium.\u003C\/p\u003E\n         \u003Cp id=\u0022p-7\u0022\u003EThe periodontal ligament, however, primarily has a supportive and load transfer function. In contrast, around a healthy dental implant, the gingival layers comprise the following:\u003C\/p\u003E\n         \u003Cul class=\u0022list-simple \u0022 id=\u0022list-1\u0022\u003E\u003Cli id=\u0022list-item-1\u0022\u003E\n               \n               \u003Cp id=\u0022p-8\u0022\u003E\u003Cspan class=\u0022list-label\u0022\u003E\u25aa \u003C\/span\u003EGingival margin\u003C\/p\u003E\n            \u003C\/li\u003E\u003Cli id=\u0022list-item-2\u0022\u003E\n               \n               \u003Cp id=\u0022p-9\u0022\u003E\u003Cspan class=\u0022list-label\u0022\u003E\u25aa \u003C\/span\u003ESulcus\u003C\/p\u003E\n            \u003C\/li\u003E\u003Cli id=\u0022list-item-3\u0022\u003E\n               \n               \u003Cp id=\u0022p-10\u0022\u003E\u003Cspan class=\u0022list-label\u0022\u003E\u25aa \u003C\/span\u003EJunctional epithelium\u003C\/p\u003E\n            \u003C\/li\u003E\u003Cli id=\u0022list-item-4\u0022\u003E\n               \n               \u003Cp id=\u0022p-11\u0022\u003E\u003Cspan class=\u0022list-label\u0022\u003E\u25aa \u003C\/span\u003EEpithelial-metal interface\u003C\/p\u003E\n            \u003C\/li\u003E\u003Cli id=\u0022list-item-5\u0022\u003E\n               \n               \u003Cp id=\u0022p-12\u0022\u003E\u003Cspan class=\u0022list-label\u0022\u003E\u25aa \u003C\/span\u003ESupra-alveolar connective tissue adhesion\u003C\/p\u003E\n            \u003C\/li\u003E\u003C\/ul\u003E\n      \u003C\/div\u003E\u003Cdiv class=\u0022section\u0022 id=\u0022sec-2\u0022\u003E\n         \u003Ch2 class=\u0022\u0022\u003EPERIODONTAL AND PERI\u2013IMPLANT DISEASE\u003C\/h2\u003E\n         \u003Cp id=\u0022p-13\u0022\u003EBacterial pathogenic plaque is the primary cause of periodontal and peri\u2013implant disease. This leads to inflammation with apical migration of junctional epithelium and loss of connective tissue fibers. Acute inflammation progresses to chronic inflammation and ultimately leads to periodontal bone loss.\u003C\/p\u003E\n      \u003C\/div\u003E\u003Cdiv class=\u0022section\u0022 id=\u0022sec-3\u0022\u003E\n         \u003Ch2 class=\u0022\u0022\u003EHEALING AFTER GINGIVECTOMY\u003C\/h2\u003E\n         \u003Cp id=\u0022p-14\u0022\u003EFollowing gingivectomy, the healing stages involve initial clot formation, followed by epithelial and vascular responses, both of which occur at the same rate to cover the wound and reestablish a capillary bed. Epithelial migration begins 24 hours postsurgery, progressing at a rate of 0.5 mm\/d until its completion by 7 to 10 days. The new dentogingival unit that results is similar to normal free gingiva.\u003C\/p\u003E\n      \u003C\/div\u003E\u003Cdiv class=\u0022section\u0022 id=\u0022sec-4\u0022\u003E\n         \u003Ch2 class=\u0022\u0022\u003EHEALING AFTER GINGIVAL FLAP SURGERY\u003C\/h2\u003E\n         \u003Cp id=\u0022p-15\u0022\u003EDr Shatz discussed the 2 types of gingival flaps. A full\u2013thickness flap extends all the way down to the level of bone, whereas a split\u2013thickness flap represents any flap of less than full\u2013thickness depth. Postsurgery, healing occurs by primary intention (suturing facilitates healing by joining the 2 flap margins) or secondary intention (spontaneous healing that occurs at the donor site on the hard palate, where graft harvesting creates a tissue deficit that heals by adhesion of granulating edges).\u003C\/p\u003E\n      \u003C\/div\u003E\u003Cdiv class=\u0022section\u0022 id=\u0022sec-5\u0022\u003E\n         \u003Ch2 class=\u0022\u0022\u003EFUNDAMENTALS OF SUCCESSFUL SURGERY\u003C\/h2\u003E\n         \u003Cp id=\u0022p-16\u0022\u003ETo ensure best surgical results, Dr Shatz emphasized the need for the following:\u003C\/p\u003E\n         \u003Col class=\u0022list-ord \u0022 id=\u0022list-2\u0022\u003E\u003Cli id=\u0022list-item-6\u0022\u003E\n               \u003Cp id=\u0022p-17\u0022\u003E\n                  \u003Cem\u003ESharp dissection\u003C\/em\u003E: Clean, fresh blades should be used at different stages in the process.\u003C\/p\u003E\n            \u003C\/li\u003E\u003Cli id=\u0022list-item-7\u0022\u003E\n               \u003Cp id=\u0022p-18\u0022\u003E\n                  \u003Cem\u003EMaintenance of flap vascularity\u003C\/em\u003E: A large flap will heal better than a small, narrow flap, for example.\u003C\/p\u003E\n            \u003C\/li\u003E\u003Cli id=\u0022list-item-8\u0022\u003E\n               \u003Cp id=\u0022p-19\u0022\u003E\n                  \u003Cem\u003EAppropriate coaptation of flaps at the end of surgery\u003C\/em\u003E: This is a significant factor in achieving predictable outcomes.\u003C\/p\u003E\n            \u003C\/li\u003E\u003Cli id=\u0022list-item-9\u0022\u003E\n               \u003Cp id=\u0022p-20\u0022\u003E\n                  \u003Cem\u003EA sterile field\u003C\/em\u003E: Although this is impossible to achieve in the oral cavity, the following steps can be taken to reduce contamination: frequent hand washing; rinsing with an American Dental Association\u2013approved therapeutic mouthwash; and prescribing a broad\u2013spectrum antibiotic, such as a cephalexin or clindamycin, if the patient is allergic to cephalexin (\u003Ca id=\u0022xref-table-wrap-2-1\u0022 class=\u0022xref-table\u0022 href=\u0022#T2\u0022\u003ETable 2\u003C\/a\u003E).\u003C\/p\u003E\n            \u003C\/li\u003E\u003C\/ol\u003E\n         \u003Cdiv id=\u0022T2\u0022 class=\u0022table pos-float\u0022\u003E\u003Cdiv class=\u0022table-inline\u0022\u003E\u003Cdiv class=\u0022callout\u0022\u003E\u003Cspan\u003EView this table:\u003C\/span\u003E\u003Cul class=\u0022callout-links\u0022\u003E\u003Cli class=\u00220 first\u0022\u003E\u003Ca href=\u0022\/\u0022 class=\u0022table-expand-inline\u0022 data-table-url=\u0022\/highwire\/markup\/15015\/expansion?postprocessors=highwire_figures%2Chighwire_math%2Chighwire_inline_linked_media%2Chighwire_embed\u0026amp;table-expand-inline=1\u0022 html=\u00221\u0022 fragment=\u0022#\u0022 external=\u00221\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EView inline\u003C\/a\u003E\u003C\/li\u003E\u003Cli class=\u00221\u0022\u003E\u003Ca href=\u0022\/highwire\/markup\/15015\/expansion?width=1000\u0026amp;height=500\u0026amp;iframe=true\u0026amp;postprocessors=highwire_figures%2Chighwire_math%2Chighwire_inline_linked_media\u0022 class=\u0022colorbox colorbox-load table-expand-popup\u0022 rel=\u0022gallery-fragment-tables\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EView popup\u003C\/a\u003E\u003C\/li\u003E\u003Cli class=\u00222 last\u0022\u003E\u003Ca href=\u0022\/highwire\/powerpoint\/15015\u0022 class=\u0022highwire-figure-link highwire-figure-link-ppt\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EDownload powerpoint\u003C\/a\u003E\u003C\/li\u003E\u003C\/ul\u003E\u003C\/div\u003E\u003C\/div\u003E\u003Cdiv class=\u0022table-caption\u0022\u003E\u003Cspan class=\u0022table-label\u0022\u003ETable 2.\u003C\/span\u003E \n               \u003Cp id=\u0022p-21\u0022 class=\u0022first-child\u0022\u003ESurgical Medications\u003C\/p\u003E\n            \u003Cdiv class=\u0022sb-div caption-clear\u0022\u003E\u003C\/div\u003E\u003C\/div\u003E\u003C\/div\u003E\n      \u003C\/div\u003E\u003Cdiv class=\u0022section\u0022 id=\u0022sec-6\u0022\u003E\n         \u003Ch2 class=\u0022\u0022\u003EHEALING FOLLOWING PERIODONTAL FLAP SURGERY\u003C\/h2\u003E\n         \u003Cp id=\u0022p-22\u0022\u003EImmediately after surgery, patients will experience inflammation, swelling, pain, and discomfort at the surgical site, which will increase over the first 3 days, decreasing thereafter. Clot formation occurs within the first 24 hours, so patients should be advised that it is normal to bleed a little during this time.\u003C\/p\u003E\n         \u003Cp id=\u0022p-23\u0022\u003ESince swelling can cause flap failure, managing inflammation is paramount to improve the chances of surgical success. Nonsteroidal anti\u2013inflammatory drugs are therefore key\u2014in particular, short\u2013term naproxen sodium (double\u2013strength at 550 mg, starting 1 hour before surgery for 7 to 10 days). Like cephalexin, naproxen is administered 3 times daily, thereby increasing compliance. Narcotics can also be prescribed short\u2013term for pain relief (\u003Ca id=\u0022xref-table-wrap-2-2\u0022 class=\u0022xref-table\u0022 href=\u0022#T2\u0022\u003ETable 2\u003C\/a\u003E).\u003C\/p\u003E\n         \u003Cp id=\u0022p-24\u0022\u003EIt takes 7 to 14 days for the junctional epithelium to begin to attach to the tooth and 21 to 28 days for connective tissue fiber attachment. Collagen is responsible for holding the tissue together, and it creates the keratinized tissue below the epithelium. Therefore, after surgery, the patient\u0027s tissue needs to be held apposed long enough for collagen to appear for reattachment. Since it takes approximately 21 days for the tissue flaps to be strong enough to support themselves, use of a suture material that remains in situ for this length of time is optimum. Polyglycolic acid is the preferred suture material. Final maturation of the flap occurs approximately 60 to 90 days postsurgery.\u003C\/p\u003E\n      \u003C\/div\u003E\u003Cdiv class=\u0022section\u0022 id=\u0022sec-7\u0022\u003E\n         \u003Ch2 class=\u0022\u0022\u003ESURGICAL ANATOMY\u003C\/h2\u003E\n         \u003Cp id=\u0022p-25\u0022\u003EFor soft tissue grafting, the hard palate is the safe zone for gingival graft harvest. While it is important to avoid the greater palatine foramen and greater palatine artery, the safe zone for grafting is the area from the distal aspect of maxillary canine to the midpalatal aspect of the maxillary first molar. Other important landmarks to avoid include the mental, inferior alveolar, lingual, and mylohyoid nerves.\u003C\/p\u003E\n      \u003C\/div\u003E\u003Cdiv class=\u0022section\u0022 id=\u0022sec-8\u0022\u003E\n         \u003Ch2 class=\u0022\u0022\u003EPRINCIPLES OF DENTAL SUTURING\u003C\/h2\u003E\n         \u003Cp id=\u0022p-26\u0022\u003EAccording to Dr Shatz, the primary objective of placing sutures is to position and secure surgical flaps in the correct place to promote optimal healing. This is important for patient comfort, hemostasis, wound size reduction, and prevention of unnecessary bone destruction.\u003C\/p\u003E\n         \u003Cp id=\u0022p-27\u0022\u003ETo avoid bending needles, the suture needle should be grasped 2 to 3 mm from the tip of the holder, in the middle of the body portion, not at the point or swaged end. The 2 most commonly used needles in dental surgery are the 3\/8 circle and the 1\/2 circle, and a variety of suture materials are available (nonabsorbable or absorbable).\u003C\/p\u003E\n         \u003Cp id=\u0022p-28\u0022\u003EThe surgeon\u0027s knot is the preferred suture tie because all suture material types can hold this. Sutures should be pulled just tight enough to secure the flap in place without restricting the flap\u0027s blood supply. The flap should not be blanched when sutures are tied, however, and they should be placed \u2264 3 mm from the flap margins to prevent tear\u2013through during maximum swelling, 24 to 48 hours postsurgery.\u003C\/p\u003E\n      \u003C\/div\u003E\u003Cdiv class=\u0022section\u0022 id=\u0022sec-9\u0022\u003E\n         \u003Ch2 class=\u0022\u0022\u003EMUCOGINGIVAL SURGERY\u003C\/h2\u003E\n         \u003Cp id=\u0022p-29\u0022\u003EDr Shatz also discussed some of the main indications for mucogingival surgery, including the need to maintain, widen, or create a zone of attached tissue. Various soft tissue grafting materials include the following:\u003C\/p\u003E\n         \u003Cul class=\u0022list-simple \u0022 id=\u0022list-3\u0022\u003E\u003Cli id=\u0022list-item-10\u0022\u003E\n               \n               \u003Cp id=\u0022p-30\u0022\u003E\u003Cspan class=\u0022list-label\u0022\u003E\u25aa \u003C\/span\u003EAutogenous masticatory mucosa\u003C\/p\u003E\n            \u003C\/li\u003E\u003Cli id=\u0022list-item-11\u0022\u003E\n               \n               \u003Cp id=\u0022p-31\u0022\u003E\u003Cspan class=\u0022list-label\u0022\u003E\u25aa \u003C\/span\u003EAutogenous connective tissue\u003C\/p\u003E\n            \u003C\/li\u003E\u003Cli id=\u0022list-item-12\u0022\u003E\n               \n               \u003Cp id=\u0022p-32\u0022\u003E\u003Cspan class=\u0022list-label\u0022\u003E\u25aa \u003C\/span\u003EAutogenous skin\u003C\/p\u003E\n            \u003C\/li\u003E\u003Cli id=\u0022list-item-13\u0022\u003E\n               \n               \u003Cp id=\u0022p-33\u0022\u003E\u003Cspan class=\u0022list-label\u0022\u003E\u25aa \u003C\/span\u003EAllogenic dermis\u003C\/p\u003E\n            \u003C\/li\u003E\u003Cli id=\u0022list-item-14\u0022\u003E\n               \n               \u003Cp id=\u0022p-34\u0022\u003E\u003Cspan class=\u0022list-label\u0022\u003E\u25aa \u003C\/span\u003EAllogenic skin\u003C\/p\u003E\n            \u003C\/li\u003E\u003Cli id=\u0022list-item-15\u0022\u003E\n               \n               \u003Cp id=\u0022p-35\u0022\u003E\u003Cspan class=\u0022list-label\u0022\u003E\u25aa \u003C\/span\u003EAllogenic fascia\u003C\/p\u003E\n            \u003C\/li\u003E\u003C\/ul\u003E\n         \u003Cp id=\u0022p-36\u0022\u003ESoft tissue techniques (\u003Ca id=\u0022xref-table-wrap-3-1\u0022 class=\u0022xref-table\u0022 href=\u0022#T3\u0022\u003ETable 3\u003C\/a\u003E) are available, and the indications for soft tissue grafting are numerous (eg, inadequate zone of keratinized tissue, gingival recession, restorations abutting gingiva, and soft and hard tissue defects).\u003C\/p\u003E\n         \u003Cdiv id=\u0022T3\u0022 class=\u0022table pos-float\u0022\u003E\u003Cdiv class=\u0022table-inline\u0022\u003E\u003Cdiv class=\u0022callout\u0022\u003E\u003Cspan\u003EView this table:\u003C\/span\u003E\u003Cul class=\u0022callout-links\u0022\u003E\u003Cli class=\u00220 first\u0022\u003E\u003Ca href=\u0022\/\u0022 class=\u0022table-expand-inline\u0022 data-table-url=\u0022\/highwire\/markup\/15016\/expansion?postprocessors=highwire_figures%2Chighwire_math%2Chighwire_inline_linked_media%2Chighwire_embed\u0026amp;table-expand-inline=1\u0022 html=\u00221\u0022 fragment=\u0022#\u0022 external=\u00221\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EView inline\u003C\/a\u003E\u003C\/li\u003E\u003Cli class=\u00221\u0022\u003E\u003Ca href=\u0022\/highwire\/markup\/15016\/expansion?width=1000\u0026amp;height=500\u0026amp;iframe=true\u0026amp;postprocessors=highwire_figures%2Chighwire_math%2Chighwire_inline_linked_media\u0022 class=\u0022colorbox colorbox-load table-expand-popup\u0022 rel=\u0022gallery-fragment-tables\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EView popup\u003C\/a\u003E\u003C\/li\u003E\u003Cli class=\u00222 last\u0022\u003E\u003Ca href=\u0022\/highwire\/powerpoint\/15016\u0022 class=\u0022highwire-figure-link highwire-figure-link-ppt\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EDownload powerpoint\u003C\/a\u003E\u003C\/li\u003E\u003C\/ul\u003E\u003C\/div\u003E\u003C\/div\u003E\u003Cdiv class=\u0022table-caption\u0022\u003E\u003Cspan class=\u0022table-label\u0022\u003ETable 3.\u003C\/span\u003E \n               \u003Cp id=\u0022p-37\u0022 class=\u0022first-child\u0022\u003ESoft Tissue Grafting Techniques\u003C\/p\u003E\n            \u003Cdiv class=\u0022sb-div caption-clear\u0022\u003E\u003C\/div\u003E\u003C\/div\u003E\u003C\/div\u003E\n         \u003Cp id=\u0022p-38\u0022\u003EDr Shatz compared the use of allogenic dermis with autogenous masticatory mucosa as grafting materials (\u003Ca id=\u0022xref-table-wrap-4-1\u0022 class=\u0022xref-table\u0022 href=\u0022#T4\u0022\u003ETable 4\u003C\/a\u003E).\u003C\/p\u003E\n         \u003Cdiv id=\u0022T4\u0022 class=\u0022table pos-float\u0022\u003E\u003Cdiv class=\u0022table-inline\u0022\u003E\u003Cdiv class=\u0022callout\u0022\u003E\u003Cspan\u003EView this table:\u003C\/span\u003E\u003Cul class=\u0022callout-links\u0022\u003E\u003Cli class=\u00220 first\u0022\u003E\u003Ca href=\u0022\/\u0022 class=\u0022table-expand-inline\u0022 data-table-url=\u0022\/highwire\/markup\/15017\/expansion?postprocessors=highwire_figures%2Chighwire_math%2Chighwire_inline_linked_media%2Chighwire_embed\u0026amp;table-expand-inline=1\u0022 html=\u00221\u0022 fragment=\u0022#\u0022 external=\u00221\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EView inline\u003C\/a\u003E\u003C\/li\u003E\u003Cli class=\u00221\u0022\u003E\u003Ca href=\u0022\/highwire\/markup\/15017\/expansion?width=1000\u0026amp;height=500\u0026amp;iframe=true\u0026amp;postprocessors=highwire_figures%2Chighwire_math%2Chighwire_inline_linked_media\u0022 class=\u0022colorbox colorbox-load table-expand-popup\u0022 rel=\u0022gallery-fragment-tables\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EView popup\u003C\/a\u003E\u003C\/li\u003E\u003Cli class=\u00222 last\u0022\u003E\u003Ca href=\u0022\/highwire\/powerpoint\/15017\u0022 class=\u0022highwire-figure-link highwire-figure-link-ppt\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EDownload powerpoint\u003C\/a\u003E\u003C\/li\u003E\u003C\/ul\u003E\u003C\/div\u003E\u003C\/div\u003E\u003Cdiv class=\u0022table-caption\u0022\u003E\u003Cspan class=\u0022table-label\u0022\u003ETable 4.\u003C\/span\u003E \n               \u003Cp id=\u0022p-39\u0022 class=\u0022first-child\u0022\u003EAllogenic Dermis and Autogenous Masticatory Mucosa as Grafting Materials\u003C\/p\u003E\n            \u003Cdiv class=\u0022sb-div caption-clear\u0022\u003E\u003C\/div\u003E\u003C\/div\u003E\u003C\/div\u003E\n         \u003Cp id=\u0022p-40\u0022\u003EHe stressed that while healthy teeth need some associated keratinized tissue (\u0026lt; 1\u2013mm thickness), teeth undergoing restorative work require more because their preparation creates a nidus of inflammation that requires the bone to be protected by a larger volume of keratinized gingival tissue. The fundamental purpose of performing soft tissue grafting is therefore to increase the zone of keratinized gingiva. However, with respect to surgical outcomes, it is important to warn patients that 100% root coverage cannot be guaranteed, concluded Dr Shatz.\u003C\/p\u003E\n      \u003C\/div\u003E\u003Cul class=\u0022copyright-statement\u0022\u003E\u003Cli class=\u0022fn\u0022 id=\u0022copyright-statement-1\u0022\u003E\u00a9 2014 MD Conference Express\u00ae\u003C\/li\u003E\u003C\/ul\u003E\u003Cspan class=\u0022highwire-journal-article-marker-end\u0022\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Cspan id=\u0022related-urls\u0022\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Ca href=\u0022http:\/\/mdc.sagepub.com\/content\/14\/38\/8.abstract\u0022 class=\u0022hw-link hw-link-article-abstract\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EView Summary\u003C\/a\u003E\u003C\/div\u003E  \u003C\/div\u003E\n\n  \n  \u003C\/div\u003E\n\u003C\/div\u003E\n  \u003C\/div\u003E\n\u003C\/div\u003E\n\u003C\/div\u003E\u003Cscript type=\u0022text\/javascript\u0022 src=\u0022http:\/\/mdc.sagepub.com\/sites\/all\/modules\/highwire\/highwire\/plugins\/highwire_markup_process\/js\/highwire_openurl.js?nzonvp\u0022\u003E\u003C\/script\u003E\n\u003Cscript type=\u0022text\/javascript\u0022 src=\u0022http:\/\/mdc.sagepub.com\/sites\/all\/modules\/highwire\/highwire\/plugins\/highwire_markup_process\/js\/highwire_tables.js?nzonvp\u0022\u003E\u003C\/script\u003E\n\u003C\/body\u003E\u003C\/html\u003E"}