Aim: Insufficient amount of keratinized gingiva can cause oral hygiene to be unsatisfactory, plaque accumulation, gingival inflammation, and gingival recession. Free gingival graft (FGG) is an effective procedure to obtain appropriate keratinized gingival width in areas with minimal keratinized tissue. This case report includes a 3-month follow-up of a patient with insufficient keratinized gingiva treated with FGG.

Case: A 32-year-old female patient with no systemic disorders presented to our clinic with complaints of gingival pain during brushing. Intraoral examination revealed that the width of the keratinized gingiva in the area from the left lower 2nd incisor to the right lower 2nd incisor was less than 1 mm. After the initial periodontal treatment in Phase 1, FGG procedure was planned. In the first step of the surgery, after the recipient area was prepared with vestibuloplasty, approximately 1.5 mm thick, 5 mm wide and 9 mm long FGG was harvested from the palatal donor area and sutured to the recipient area with 5.0 polyglactic acid (PGA) suture. Postoperatively, the patient was prescribed antibiotics, anti-inflammatories, and a chlorhexidine gluconate mouthwash. The sutures were removed on the fourteenth day. The patient’s clinical controls were performed in the 1st and 3rd month post-operation.

Conclusion: No postoperative problems were encountered. Follow-up was performed at 1st week, 1st month and 3rd month. At the end of the treatment, the width of the keratinized gingiva in the region reached the ideal level. Free gingival graft surgery shows positive results in increasing the keratinized gingival tissue.

Keywords: Keywords: Keratinized gingiva; FGG; Plaque;