Journal of Indian Society of Periodontology

REVIEW ARTICLE
Year
: 2019  |  Volume : 23  |  Issue : 5  |  Page : 395--408

44-year journey of palatal connective tissue graft harvest: A narrative review


Komal Puri1, Ashish Kumar1, Manish Khatri1, Mansi Bansal1, Mohd Rehan1, Srinivasa Tenkasale Siddeshappa2 
1 Department of Periodontology, Institute of Dental Studies and Technologies, Modinagar, Ghaziabad, Uttar Pradesh, India
2 Department of Periodontology, Aditya Dental College, Beed, Maharashtra, India

Correspondence Address:
Dr. Komal Puri
AK-93, Shalimar Bagh, Delhi - 110 088
India

Connective tissue graft (CTG) is considered the gold standard for soft-tissue correction and augmentation surgeries, but involves a secondary donor area and its associated complications. The techniques to harvest CTG have undergone a large number of modifications over a period of 44 years since the time it was introduced by Edel in 1974 to increase the width of keratinized gingiva. This review compiles all the techniques of graft harvest from the palate and their modifications which have been introduced in the last 44 years till date. This review is based on systematic reviews, comparative human studies, and case reports describing any new technique of graft harvest. Publications till April 2018 were selected and further reviewed. In addition, specific related journals and books were searched upon. In order to minimize the pain, bleeding, and morbidity associated with donor site, several researchers proposed harvesting of the connective tissue by means of different techniques, each precisely different from others in terms of design, incisions, and procedure of harvest. Although the latest techniques are minimally invasive with reduced incision lines, less compromised blood supply, accelerated healing, and no sloughing of the overlying flap, they are technique sensitive which requires higher expertise to execute.


How to cite this article:
Puri K, Kumar A, Khatri M, Bansal M, Rehan M, Siddeshappa ST. 44-year journey of palatal connective tissue graft harvest: A narrative review.J Indian Soc Periodontol 2019;23:395-408


How to cite this URL:
Puri K, Kumar A, Khatri M, Bansal M, Rehan M, Siddeshappa ST. 44-year journey of palatal connective tissue graft harvest: A narrative review. J Indian Soc Periodontol [serial online] 2019 [cited 2019 Nov 22 ];23:395-408
Available from: http://www.jisponline.com/article.asp?issn=0972-124X;year=2019;volume=23;issue=5;spage=395;epage=408;aulast=Puri;type=0