Dentaltown January 2022 - 51
by Dr. David Paulson
Dr. David Paulson is a boardcertifi
ed periodontist practicing
in Hudson, Wisconsin. He obtained
his bachelor's and DDS degree
from Marquette University
and his master's and specialty
certifi cate in periodontology from
the University of Minnesota.
Paulson recently achieved
diplomate status with the American Board of Periodontology.
His professional interests include the treatment of
periodontal disease, soft tissue grafting, dental implants
and guided tissue regeneration.
T
here are many soft tissue grafting techniques available today, but two
of the most common remain the free gingival graft and connective tissue
graft. Both are autogenous grafts, meaning they are from the patient's own
body, and are free soft tissue grafts, meaning they are completely excised
from one part of the body (usually the patient's palate) and transferred
to a separate recipient site. From a patient's perspective, these surgical
procedures may seem very similar and might all be considered a " gum graft, " but there
are distinguishing differences between the two in regard to indications and techniques.
The primary anatomic difference between the two types of grafts is that free gingival
grafts (Figs. 1a-1c, p. 52) retain the overlying epithelium1
while subepithelial connective
tissue grafts (Figs. 2a-c, p. 52) exclude the epithelium and are composed only of connective
tissue and sometimes adipose tissue, glandular tissue and/or periosteum, depending on
the depth they are harvested from.2
Goals of tissue grafting
The goals of performing soft tissue grafts usually fall under two categories: root
coverage and soft tissue augmentation. We almost always try to obtain some amount of
root coverage and/or aim to increase the amount of tissue. There may be some instances
where root coverage is not attempted at all or the goal is just simply adding keratinized
tissue-on an edentulous ridge, around implants lacking keratinized gingiva or during
vestibuloplasty-but in general, root coverage is what a major portion of tissue grafts
are performed for.
Root coverage from a soft tissue graft will either be complete or partial after fi nal
healing of the surgical site. A new classifi cation system adopted by the American Academy
of Periodontology is helpful in classifying recession defects as Recession Type 1, 2, or 3.3
This classifi cation system helps give clinicians a better idea of how much root coverage
is achievable before surgery. Complete root coverage is possible only when there is no
dentaltown.com \\ JANUARY 2022 51
http://www.dentaltown.com
Dentaltown January 2022
Table of Contents for the Digital Edition of Dentaltown January 2022
Howard Speaks: Coach Your Team To Success
Professional Courtesy: Losing It Is Just The Beginning
Continuing Education Update
Industry News
Poll: Sleep Dentistry
Message Board: Crown Lengthening or Not
Message Board: Fixing a Natural Open Contact
Message Board: Golden Handcuffs/How to Retain an Associate Long Term
Message Board: Upper All-on-4 - Fast Track Workflow
Office Visit: Dr. Eric Steinbach
Autogenous Soft Tissue Grafting — Dr. David Paulson
Taking It In-House — Dr. Joe Westbury
Ad Index
Turning On the Dental Overhead Light — Dr. Claudia Le
Earn Trust, Then Compliance — Jay Geier
A Team Wins Playing 1-On-1 — Dr. Tim Goodheart
Dentally Incorrect
Dentaltown January 2022 - 1
Dentaltown January 2022 - Cover1
Dentaltown January 2022 - Cover2
Dentaltown January 2022 - 1
Dentaltown January 2022 - 2
Dentaltown January 2022 - 3
Dentaltown January 2022 - 4
Dentaltown January 2022 - 5
Dentaltown January 2022 - 6
Dentaltown January 2022 - 7
Dentaltown January 2022 - 8
Dentaltown January 2022 - 9
Dentaltown January 2022 - 10
Dentaltown January 2022 - 11
Dentaltown January 2022 - Howard Speaks: Coach Your Team To Success
Dentaltown January 2022 - 13
Dentaltown January 2022 - Professional Courtesy: Losing It Is Just The Beginning
Dentaltown January 2022 - 15
Dentaltown January 2022 - Continuing Education Update
Dentaltown January 2022 - 17
Dentaltown January 2022 - Industry News
Dentaltown January 2022 - 19
Dentaltown January 2022 - Poll: Sleep Dentistry
Dentaltown January 2022 - 21
Dentaltown January 2022 - Message Board: Crown Lengthening or Not
Dentaltown January 2022 - 23
Dentaltown January 2022 - 24
Dentaltown January 2022 - 25
Dentaltown January 2022 - Message Board: Fixing a Natural Open Contact
Dentaltown January 2022 - 27
Dentaltown January 2022 - Message Board: Golden Handcuffs/How to Retain an Associate Long Term
Dentaltown January 2022 - 29
Dentaltown January 2022 - 30
Dentaltown January 2022 - 31
Dentaltown January 2022 - Message Board: Upper All-on-4 - Fast Track Workflow
Dentaltown January 2022 - 33
Dentaltown January 2022 - 34
Dentaltown January 2022 - 35
Dentaltown January 2022 - 36
Dentaltown January 2022 - 37
Dentaltown January 2022 - 38
Dentaltown January 2022 - 39
Dentaltown January 2022 - Office Visit: Dr. Eric Steinbach
Dentaltown January 2022 - 41
Dentaltown January 2022 - 42
Dentaltown January 2022 - 43
Dentaltown January 2022 - 44
Dentaltown January 2022 - 45
Dentaltown January 2022 - 46
Dentaltown January 2022 - 47
Dentaltown January 2022 - 48
Dentaltown January 2022 - 49
Dentaltown January 2022 - Autogenous Soft Tissue Grafting — Dr. David Paulson
Dentaltown January 2022 - 51
Dentaltown January 2022 - 52
Dentaltown January 2022 - 53
Dentaltown January 2022 - 54
Dentaltown January 2022 - 55
Dentaltown January 2022 - Taking It In-House — Dr. Joe Westbury
Dentaltown January 2022 - 57
Dentaltown January 2022 - 58
Dentaltown January 2022 - 59
Dentaltown January 2022 - 60
Dentaltown January 2022 - 61
Dentaltown January 2022 - 62
Dentaltown January 2022 - 63
Dentaltown January 2022 - 64
Dentaltown January 2022 - Ad Index
Dentaltown January 2022 - Turning On the Dental Overhead Light — Dr. Claudia Le
Dentaltown January 2022 - 67
Dentaltown January 2022 - 68
Dentaltown January 2022 - 69
Dentaltown January 2022 - Earn Trust, Then Compliance — Jay Geier
Dentaltown January 2022 - 71
Dentaltown January 2022 - 72
Dentaltown January 2022 - 73
Dentaltown January 2022 - A Team Wins Playing 1-On-1 — Dr. Tim Goodheart
Dentaltown January 2022 - 75
Dentaltown January 2022 - 76
Dentaltown January 2022 - 77
Dentaltown January 2022 - 78
Dentaltown January 2022 - 79
Dentaltown January 2022 - Dentally Incorrect
Dentaltown January 2022 - Cover3
Dentaltown January 2022 - Cover4
Dentaltown January 2022 - 86
Dentaltown January 2022 - 87
https://www.nxtbook.com/farran/dentaltown/dentaltown-november-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-october-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-september-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-august-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-july-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-june-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-may-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-april-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-march-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-february-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-january-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-december-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-november-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-new-grad-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-october-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-september-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-august-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-july-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-june-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-may-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-april-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-march-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-february-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-january-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-december-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-november-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-october-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-new-grad-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-september-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-august-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-july-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-june-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-may-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-april-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-march-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-february-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-january-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-december-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-november-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-new-grad-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-october-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-september-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-august-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-july-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-june-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-may-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-april-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-march-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-february-2021
https://www.nxtbook.com/farran/dentaltown/2021January
https://www.nxtbook.com/farran/dentaltown/2020December
https://www.nxtbook.com/farran/dentaltown/2020November
https://www.nxtbook.com/farran/dentaltown/2020NewGrad
https://www.nxtbook.com/farran/dentaltown/2020October
https://www.nxtbook.com/farran/dentaltown/2020September
https://www.nxtbook.com/farran/dentaltown/2020August
https://www.nxtbook.com/farran/dentaltown/2020July
https://www.nxtbook.com/farran/dentaltown/2020June
https://www.nxtbook.com/farran/dentaltown/2020May
https://www.nxtbook.com/farran/dentaltown/2020April
https://www.nxtbook.com/farran/dentaltown/2020March
https://www.nxtbook.com/farran/dentaltown/2020February
https://www.nxtbook.com/farran/dentaltown/2020January
https://www.nxtbook.com/farran/dentaltown/2019December
https://www.nxtbook.com/farran/dentaltown/2019November
https://www.nxtbook.com/farran/dentaltownuk/2019OctoberNovember
https://www.nxtbook.com/farran/dentaltown/2019October
https://www.nxtbook.com/farran/dentaltown/2019NewGrad
https://www.nxtbook.com/farran/dentaltown/2019September
https://www.nxtbook.com/farran/dentaltown/2019August
https://www.nxtbook.com/farran/dentaltown/2019July
https://www.nxtbook.com/farran/dentaltownuk/2019JuneJuly
https://www.nxtbook.com/farran/dentaltown/2019June
https://www.nxtbook.com/farran/dentaltown/2019May
https://www.nxtbook.com/farran/dentaltownuk/2019AprilMay
https://www.nxtbook.com/farran/dentaltown/2019April
https://www.nxtbook.com/farran/dentaltown/2019March
https://www.nxtbook.com/farran/dentaltown/2019February
https://www.nxtbook.com/farran/dentaltownuk/2019FebruaryMarch
https://www.nxtbook.com/farran/dentaltown/2019January
https://www.nxtbook.com/farran/dentaltownuk/2018Winter
https://www.nxtbook.com/farran/dentaltown/2018December
https://www.nxtbook.com/farran/dentaltown/2018November
https://www.nxtbook.com/farran/dentaltownuk/2018November
https://www.nxtbook.com/farran/dentaltown/2018October
https://www.nxtbook.com/farran/dentaltownuk/2018October
https://www.nxtbook.com/farran/dentaltown/2018NewGrad
https://www.nxtbook.com/farran/dentaltown/2018September
https://www.nxtbook.com/farran/dentaltownuk/2018September
https://www.nxtbook.com/farran/dentaltown/2018August
https://www.nxtbook.com/farran/dentaltownuk/2018July
https://www.nxtbook.com/farran/dentaltown/2018July
https://www.nxtbook.com/farran/dentaltownuk/2018June
https://www.nxtbook.com/farran/dentaltown/2018June
https://www.nxtbook.com/farran/dentaltownuk/2018May
https://www.nxtbook.com/farran/dentaltown/2018May
https://www.nxtbook.com/farran/dentaltownuk/2018April
https://www.nxtbook.com/farran/dentaltown/2018April
https://www.nxtbook.com/farran/dentaltown/2018March
https://www.nxtbook.com/farran/dentaltownuk/2018March
https://www.nxtbook.com/farran/dentaltown/2018February
https://www.nxtbook.com/farran/dentaltownuk/2018February
https://www.nxtbook.com/farran/dentaltown/2018January
https://www.nxtbook.com/farran/dentaltown/2017December
https://www.nxtbook.com/farran/dentaltownuk/2017Winter
https://www.nxtbook.com/farran/dentaltown/2017November
https://www.nxtbook.com/farran/dentaltown/2017October
https://www.nxtbook.com/farran/dentaltownuk/2017october
https://www.nxtbook.com/farran/dentaltown/NewGrad2017
https://www.nxtbook.com/farran/dentaltown/2017September
https://www.nxtbook.com/farran/dentaltownuk/2017September
https://www.nxtbook.com/farran/dentaltownuk/2017August
https://www.nxtbook.com/farran/dentaltown/2017August
https://www.nxtbook.com/farran/dentaltown/2017July
https://www.nxtbook.com/farran/dentaltownuk/2017July
https://www.nxtbook.com/farran/dentaltown/2017June
https://www.nxtbook.com/farran/dentaltownuk/2017may
https://www.nxtbook.com/farran/dentaltown/2017May
https://www.nxtbook.com/farran/dentaltownuk/2017April
https://www.nxtbook.com/farran/dentaltown/2017April
https://www.nxtbook.com/farran/dentaltown/2017March
https://www.nxtbook.com/farran/dentaltownuk/dentaltownuk/2017march
https://www.nxtbook.com/farran/dentaltown/February2017
https://www.nxtbook.com/farran/dentaltown/2017January
https://www.nxtbook.com/farran/dentaltown/2016December
https://www.nxtbook.com/farran/dentaltown/2016November
https://www.nxtbook.com/farran/dentaltown/2016October
https://www.nxtbook.com/farran/dentaltown/2016nge
https://www.nxtbook.com/farran/dentaltown/2016september
https://www.nxtbook.com/farran/dentaltown/2016august
https://www.nxtbook.com/farran/dentaltown/2016july
https://www.nxtbook.com/farran/dentaltown/2016june
https://www.nxtbook.com/farran/dentaltown/2016may
https://www.nxtbook.com/farran/dentaltown/2016april
https://www.nxtbook.com/farran/dentaltown/2016march
https://www.nxtbook.com/farran/dentaltown/2016february
https://www.nxtbook.com/farran/dentaltown/2016january
https://www.nxtbook.com/farran/dentaltown/2015december
https://www.nxtbook.com/farran/dentaltown/2015november
https://www.nxtbook.com/farran/dentaltown/2015october
https://www.nxtbook.com/farran/dentaltown/2015nge
https://www.nxtbook.com/farran/dentaltown/2015september
https://www.nxtbook.com/farran/dentaltown/2015august
https://www.nxtbook.com/farran/dentaltown/2015july
https://www.nxtbook.com/farran/dentaltown/2015june
https://www.nxtbook.com/farran/dentaltown/2015may
https://www.nxtbook.com/farran/dentaltown/2015april
https://www.nxtbook.com/farran/dentaltown/2015march
https://www.nxtbook.com/farran/dentaltown/2015february
https://www.nxtbook.com/farran/dentaltown/2015january
https://www.nxtbook.com/farran/dentaltown/2014december
https://www.nxtbook.com/farran/dentaltown/2014decemberb
https://www.nxtbook.com/farran/dentaltown/2014november
https://www.nxtbook.com/farran/dentaltown/2014october
https://www.nxtbook.com/farran/dentaltown/2014newgrad
https://www.nxtbook.com/farran/dentaltown/2014september
https://www.nxtbook.com/farran/dentaltown/2014august
https://www.nxtbook.com/farran/dentaltown/2014july
https://www.nxtbook.com/farran/dentaltown/2014june
https://www.nxtbook.com/farran/dentaltown/2014may
https://www.nxtbook.com/farran/dentaltown/2014april
https://www.nxtbook.com/farran/dentaltown/2014march
https://www.nxtbook.com/farran/dentaltown/2014february
https://www.nxtbook.com/farran/dentaltown/2014january
https://www.nxtbook.com/farran/dentaltown/2013december
https://www.nxtbook.com/farran/dentaltown/2013november
https://www.nxtbook.com/farran/dentaltown/2013october
https://www.nxtbook.com/farran/dentaltown/2013newgrad
https://www.nxtbook.com/farran/dentaltown/2013september
https://www.nxtbook.com/farran/dentaltown/2013august
https://www.nxtbook.com/farran/dentaltown/2013july
https://www.nxtbook.com/farran/dentaltown/2013june
https://www.nxtbook.com/farran/dentaltown/2013may
https://www.nxtbook.com/farran/dentaltown/2013april
https://www.nxtbook.com/farran/dentaltown/2013march
https://www.nxtbook.com/farran/dentaltown/2013february
https://www.nxtbook.com/farran/dentaltown/2013january
https://www.nxtbook.com/farran/dentaltown/2012december
https://www.nxtbook.com/farran/dentaltown/2012November
https://www.nxtbookmedia.com