Free Gingival Graft Patients' Treatment Perception and Experience
8. juni 2026 oppdatert av: Cenker Zeki Koyuncuoğlu, Istanbul Aydın University
Patient Experience and Treatment Perception in Patients Undergoing Free Gingival Graft: A Retrospective Survey Study.
Free gingival graft (FGG) is a common and effective periodontal procedure used to improve gum health; however, it can involve challenges such as postoperative pain and discomfort due to the requirement of a secondary donor site.
While clinical outcomes are well-documented, long-term patient perceptions and overall satisfaction levels have not been sufficiently explored.
The purpose of this retrospective study is to systematically evaluate patient experiences, satisfaction levels, and the willingness to undergo the procedure again in individuals who underwent FGG surgery at least one year ago.
Studieoversikt
Status
Fullført
Intervensjon / Behandling
Detaljert beskrivelse
Background and Rationale: Free gingival graft (FGG) is a widely preferred mucogingival procedure in periodontal plastic surgery, aimed at increasing keratinized tissue width and improving gingival morphology. While FGG is highly effective for indications such as preventing gingival recession and enhancing oral hygiene maintenance, it requires a secondary surgical site (donor area), which can lead to postoperative pain, tissue morbidity, and reduced patient comfort. Current literature often focuses on short-term clinical outcomes, leaving long-term patient-reported outcome measures (PROMs) and perceptions insufficiently explored.
Objectives:The primary objective of this study is to retrospectively evaluate the postoperative experiences, satisfaction levels, and overall surgical perceptions of individuals who underwent FGG surgery. Specifically, the study aims to investigate the willingness of patients to undergo the procedure again, should it be necessary in the future.
Methodology: This is a retrospective, non-interventional, observational, and cross-sectional study conducted at Istanbul Aydin University, Faculty of Dentistry, Department of Periodontology. The study population includes patients who underwent FGG surgery between January 2014 and May 2024, with at least one year having passed since the operation.Data collection involves two stages:
- Archive Review: Patient demographics, smoking status, systemic health, and surgical details (e.g., complications, donor site technique) are retrieved from institutional records.
- Telephone Survey: A semi-structured survey is administered via telephone to assess patient-reported outcomes, including pain levels, satisfaction, analgesic requirements, and aesthetic perceptions.
Studietype
Observasjonsmessig
Registrering (Faktiske)
77
Kontakter og plasseringer
Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.
Studiesteder
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Turkey
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Istanbul, Turkey, Tyrkia (Türkiye), 34295
- Istanbul Aydin University, Faculty of Dentistry, Department of Periodontology
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Deltakelseskriterier
Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
- Voksen
- Eldre voksen
Tar imot friske frivillige
Ja
Prøvetakingsmetode
Ikke-sannsynlighetsprøve
Studiepopulasjon
The study population consists of patients who underwent Free Gingival Graft (FGG) surgery at the Department of Periodontology, Faculty of Dentistry, Istanbul Aydın University, between January 2014 and May 2024.
Potential participants were identified through a retrospective screening of institutional archive records based on the predefined inclusion and exclusion criteria
Beskrivelse
Inclusion Criteria:
- Individuals who underwent Free Gingival Graft (FGG) surgery at Istanbul Aydin University, Faculty of Dentistry, Department of Periodontology; who accurately remember the surgical site and grant permission to use their patient records containing demographic and surgical data.
- Patients who have undergone periodontal plastic surgery due to an FGG procedure only once.
- Patients whose records contain complete information regarding the graft harvesting technique from the palatal donor site, including the date of the procedure and any complications within the first month following surgery.
- Patients who have not previously undergone any other surgical procedure in the palatal region.
Exclusion Criteria:
- Individuals who have not undergone FGG surgery.
- Patients who have undergone periodontal plastic surgery more than once.
- Patients who underwent FGG surgery but have missing or incomplete information in their medical records.
- Patients who have previously undergone any other surgical procedure in the palatal region.
- Patients who have previously received a different periodontal surgical treatment in the area where the relevant teeth are located.
Studieplan
Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.
Hvordan er studiet utformet?
Designdetaljer
Kohorter og intervensjoner
Gruppe / Kohort |
Intervensjon / Behandling |
|---|---|
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Free Gingival Graft Patients
Patients who underwent free gingival graft (FGG) surgery at the Department of Periodontology, Faculty of Dentistry, Istanbul Aydın University, between January 2014 and May 2024
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A surgical procedure performed to increase the amount of keratinised gingival tissue and improve periodontal health.
The study examines the postoperative experiences and satisfaction levels of patients who have undergone this procedure.
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Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Patient Satisfaction and Willingness to Undergo the Procedure Again
Tidsramme: At least 1 year post-operation (Range: 1 to 11 years, based on surgeries performed between January 2014 and May 2024).
|
This measure evaluates the overall satisfaction of patients who underwent Free Gingival Graft (FGG) surgery and their willingness to repeat the procedure if necessary in the future.
The assessment is conducted through a semi-structured retrospective telephone survey that covers postoperative pain, complications, aesthetic perception, and overall treatment experience.
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At least 1 year post-operation (Range: 1 to 11 years, based on surgeries performed between January 2014 and May 2024).
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Samarbeidspartnere og etterforskere
Det er her du vil finne personer og organisasjoner som er involvert i denne studien.
Sponsor
Publikasjoner og nyttige lenker
Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.
Generelle publikasjoner
- Wessel JR, Tatakis DN. Patient outcomes following subepithelial connective tissue graft and free gingival graft procedures. J Periodontol. 2008 Mar;79(3):425-30. doi: 10.1902/jop.2008.070325.
- Griffin TJ, Cheung WS, Zavras AI, Damoulis PD. Postoperative complications following gingival augmentation procedures. J Periodontol. 2006 Dec;77(12):2070-9. doi: 10.1902/jop.2006.050296.
- Camargo PM, Melnick PR, Kenney EB. The use of free gingival grafts for aesthetic purposes. Periodontol 2000. 2001;27:72-96. doi: 10.1034/j.1600-0757.2001.027001072.x. No abstract available.
- Lang NP, Loe H. The relationship between the width of keratinized gingiva and gingival health. J Periodontol. 1972 Oct;43(10):623-7. doi: 10.1902/jop.1972.43.10.623. No abstract available.
- Tavelli L, Barootchi S, Di Gianfilippo R, Kneifati A, Majzoub J, Stefanini M, Zucchelli G, Wang HL. Patient experience of autogenous soft tissue grafting has an implication for future treatment: A 10- to 15-year cross-sectional study. J Periodontol. 2021 May;92(5):637-647. doi: 10.1002/JPER.20-0350. Epub 2020 Oct 3.
- Curtis JW Jr, McLain JB, Hutchinson RA. The incidence and severity of complications and pain following periodontal surgery. J Periodontol. 1985 Oct;56(10):597-601. doi: 10.1902/jop.1985.56.10.597.
- Brasher WJ, Rees TD, Boyce WA. Complications of free grafts of masticatory mucosa. J Periodontol. 1975 Mar;46(3):133-8. doi: 10.1902/jop.1975.46.3.133.
- Agudio G, Nieri M, Rotundo R, Cortellini P, Pini Prato G. Free gingival grafts to increase keratinized tissue: a retrospective long-term evaluation (10 to 25 years) of outcomes. J Periodontol. 2008 Apr;79(4):587-94. doi: 10.1902/jop.2008.070414.
- Corn H. Periosteal separation-its clinical significance. The Journal of Periodontology. 1962;33(2):140-53
- Carranza FA Jr, Carraro JJ. Mucogingival techniques in periodontal surgery. J Periodontol. 1970 May;41(5):294-9. doi: 10.1902/jop.1970.41.5.294. No abstract available.
- Miller PD Jr. Regenerative and reconstructive periodontal plastic surgery. Mucogingival surgery. Dent Clin North Am. 1988 Apr;32(2):287-306.
- Glossary of periodontal terms: American Academy of Periodontology; 1992.
- Miller PD Jr. Root coverage grafting for regeneration and aesthetics. Periodontol 2000. 1993 Feb;1(1):118-27. No abstract available.
Studierekorddatoer
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Studer hoveddatoer
Studiestart (Faktiske)
27. juni 2025
Primær fullføring (Faktiske)
30. september 2025
Studiet fullført (Faktiske)
30. september 2025
Datoer for studieregistrering
Først innsendt
28. april 2026
Først innsendt som oppfylte QC-kriteriene
28. april 2026
Først lagt ut (Faktiske)
5. mai 2026
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
10. juni 2026
Siste oppdatering sendt inn som oppfylte QC-kriteriene
8. juni 2026
Sist bekreftet
1. juni 2026
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- 145/2025
Plan for individuelle deltakerdata (IPD)
Planlegger du å dele individuelle deltakerdata (IPD)?
NEI
IPD-planbeskrivelse
As the informed consent form guarantees participants that their data will not be shared with third parties, the data will not be made available for sharing.
Legemiddel- og utstyrsinformasjon, studiedokumenter
Studerer et amerikansk FDA-regulert medikamentprodukt
Nei
Studerer et amerikansk FDA-regulert enhetsprodukt
Nei
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