Root coverage using submarginal free mucosal grafts in conjunction with a retained gingival collar.

A modified technique using a submarginal free mucosal graft has been developed to aid in root coverage. The gingival collar of keratinized tissue is relaxed via a horizontal or semilunar incision and coronally placed. The periosteum is retained on the osseous structures of the recipient site. A free mucosal graft from the palate is sutured submarginally, while the dentist places tension on the gingival collar in an incisal direction. This method has been found, in 8 years of study, to be a predictable way for the periodontist to cover receded gingival tissue where esthetics or root sensitivity is a factor.