Free Gingival Graft versus Mucograft: Histological Evaluation


  • Zaklina Menceva Department of Oral Surgery, University Dental Clinical Centre St. Pantelejmon, Faculty of Dentistry, Ss Cyril and Methodius University of Skopje, Skopje
  • Oliver Dimitrovski Department of Oral Surgery and Imlantology, Faculty of Dentistry, Ss. Cyril and Methodius University of Skopje
  • Mirjana Popovska Department of Oral Pathology and Periodontology, Faculty of Dentistry, Ss. Cyril and Methodius University of Skopje, Skopje
  • Spiro Spasovski Ordinary General Dentistry Dr. Spasovski, Skopje
  • Vancho Spirov Department of Oral Surgery, University Dental Clinical Centre St. Pantelejmon, Faculty of Dentistry, Ss Cyril and Methodius University of Skopje, Skopje
  • Gordana Petrusevska Institute of Pathology, Faculty of Medicine, Ss Cyril and Methodius University of Skopje, Skopje



Gingival recession, Free gingival graft, Mucograft, Elastic fibres, Collagen fibres, Connective tissue


INTRODUCTION: The correction of the gingival recession is of esthetical and functional significance, but the tissue regeneration can only be confirmed by a histological examination.

AIM: This study aims to make a comparison between the free gingival graft and the autograft.

MATERIAL AND METHODS: This study included 24 patients with single and multiple gingival recessions. Twelve patients were treated with a free gingival graft and the other twelve with a micrograft. Six months after the surgical procedure, a micro-punch biopsy of the transplantation area was performed. The tissue was histologically evaluated, graded in 4 categories: immature, mature, fragmented and edematous collagen tissue. The elastic fibres were also examined and graded in three categories: with a normal structure, fragmented rare and fragmented multiplied.

RESULTS: Regarding the type of collagen tissue that was present, there was a significant difference between the two groups of patients, with a larger number of patients treated with a micrograft showing a presence of mature tissue, compared to the patients treated with a free gingival graft. A larger number of patients in both of the groups displayed elastic fibres with a rare fragmented structure; 33.3% of the patients showed a normal structure; 50% demonstrated a normal structure.

CONCLUSION: The patients treated with a free gingival graft showed a larger presence of fragmented collagen tissue and fragmented elastic fibres, whereas a mature tissue was predominantly present in the surgical area where a Geistlich Mucograft was placed.


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How to Cite

Menceva Z, Dimitrovski O, Popovska M, Spasovski S, Spirov V, Petrusevska G. Free Gingival Graft versus Mucograft: Histological Evaluation. Open Access Maced J Med Sci [Internet]. 2018 Mar. 27 [cited 2023 Feb. 4];6(4):675-9. Available from:



D - Dental Sciences

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