Correção de hiperplasia inflamatória crônica associada a técnica do enxerto gengival livre fixado com parafusos gengivais

relato de caso clínico

Abstract

Chronic inflammatory hyperplasia is a pathological condition frequently associated with the prolonged use of ill-fitting prostheses, potentially causing mucogingival deformities and functional impairment of the oral mucosa. The present case report aims to describe the surgical removal of a hyperplastic lesion in the anterior maxillary region associated with a free gingival graft (FGG) stabilized using gingival screws. A 78-year-old female patient underwent surgical excision of the lesion, followed by adaptation of an FGG harvested from the palate and fixed with six titanium gingival screws in order to promote tissue immobilization and optimize wound healing. At the 30-day follow-up, excellent graft integration, formation of a band of keratinized mucosa, and tissue stability were observed, with no need for screw removal. The findings of this 14-week follow-up case suggest that free gingival graft fixation with screws may be an effective alternative to conventional suturing, providing greater predictability and postoperative comfort.