Nabers, J., Free gingival graft. Periodontics. 4:243, 1966

Problem with mucogingival areas of the mandibular incisors. minimal, thin or no attached gingival.

• Where a vestibular fornix problem exists, an incision into the fornix to deepen it is indicated
• Incision should leave in place the periosteum with a marginal amount of connective tissue.
• The gingival tissue to be grafted is excised and the sulcular epithelium is removed leaving the lamina propria of the connective tissue of this donor tissue exposed.
• The tissue is custom shaped to fit
• The tissue is sutured in place to the periosteum with the CT of the donor in contact with the underlying CT of the recipient area. Foil is placed to cover the donor site, then rubber dam material then the dressing.
• The fundamental importance to this entire procedure is the maintenance of the nutritional needs of the donor tissue by re-establishment of satisfactory blood circulation

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