The modified free gingival graft – an innovative approach for treatment of gingival recession defect at lower anterior teeth
Hands-on Courses
29 Oct 2023, 09:00 – 18:00 Zabeel House | Onyx Tower 2 Area of interest: General Dentistry, Periodontics


Face-to-Face Training | Dubai (full day)


This course will focus on gingival recession defects affecting lower incisors, which are common findings among adult patients and considered, from a mucogingival perspective, as one of the most challenging clinical situation to manage.

The attendees will learn how to address and treat such recession defects successfully. The participants will evaluate the clinical situation to be treated, taking into consideration important anatomical features, frequently encountered at lower anterior teeth, and considered as limiting factors for periodontal plastic surgery. The participants will learn how to overcome such critical factors, being introduced to the innovative concept of “the Modified- Free Gingival Graft” (Mod-FGG). The biological motive behind this new mucogingival surgical approach will be explained in details. Its potential to treat challenging gingival recession defects at lower incisors will be shown through many fully documented clinical cases in HD quality. The step-by-step procedure will be thoroughly illustrated and discussed, showing what is really possible to achieve and the limitations of this novel technique. Different useful suture techniques, including suspended sutures, compressive sutures and fishnet technique, will be described.

During the hands-on, all the steps of the “Modified-free gingival graft” procedure, including sutures techniques, will be shown by Dr Olivier Carcuac with an HD camera with high magnification for the explanation of all the details. The participants will then apply this technique on animal jaws.

Download the brochure: 29.10.2023_Olivier Carcuac_Brochure.pdf

Learning Objectives

  • Explain how to treat gingival recessions defects at lower anterior teeth, understanding both the non-surgical and the surgical phases of the therapy.
  • Explain how to assess a clinical case, taking into consideration all predisposing, triggering and limiting factors.
  • Explain and demonstrate how to harvest a free gingival graft.
  • Explain and demonstrate how to create a proper recipient site according to the Modified-free gingival graft (Mod-FGG) technique.
  • Discuss the biological motives behind the Mod-FGG, its advantages compared with the conventional FGG.
  • Present, through scientific evidence and a recently published randomized clinical trial, the greater outcomes obtained with Mod-FGG compared with the conventional FGG.


09:00 – 10:45

  • Gingival recession defects at anterior teeth: anatomical and etiological factors.
  • Gingival recession defects at anterior teeth: classification and treatment strategies.
  • Microsurgery: concept and instrumentation.
  • Gingival recession defects at anterior teeth: description and limitations of different surgical approaches.
10:45 – 11:00
Coffee Break
11:00 – 12:30
  • Free Gingival Graft (FGG): principles, procedure, outcomes.
  • Modified Free Gingival Graft (Mod-FGG): biological motives, principles, procedure, outcomes. 
  • Presentation and discussion around a Randomized Clinical Trial comparing Mod-FGG and FGG. 
12:30 – 14:00
Lunch Break
14:00 – 16:00
  • Preparation of the recipient site for Mod-FGG
  • Harvesting of the graft.
16:00 – 16:15
Coffee Break
16:15 – 17:30
  • Placement of the graft and suturing techniques (suspended sutures, compressive sutures, fishnet sutures). 
Final discussion and end of the course

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