YU-CHAO CHANG2026-10-162026-10-162023-07-01Pure ID: 15419470Pure UUID: f90350e9-c12b-43da-8ea2-9538af272e4710.1016/j.jds.2023.05.013https://www.scopus.com/pages/publications/85159287976https://scholars.csmu.edu.tw/handle/123456789/31234Graft shrinkage, epithelial disintegration, and even necrosis are the well-known clinical complications during initial healing stage of free gingival graft (FGG) procedure. This article presented a novel operative prodecure for FGG in a dental implant with insufficient keratinized tissue over a 3-year follow-up period. Briefly, donor site for FGG harvested from maxillary tuberosity would minimize the volume of graft shrinkage. The new periosteum suture technique could secure FGG firmly adapted on the recipient site. With 1 mm gap between FGG and muco-gingival junction may improve plasmatic circulation and revascularization. The clinical findings of case report demonstrated that this novel operative procedure may provide a viable therapeutic alternative for FGG.4enjournal article