Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2023 Jun;92(1):90-119.
doi: 10.1111/prd.12466. Epub 2022 Dec 30.

Wound healing dynamics, morbidity, and complications of palatal soft-tissue harvesting

Lorenzo Tavelli  1   2 , Shayan Barootchi  1 , Martina Stefanini  3 , Giovanni Zucchelli  1   3 , William V Giannobile  4 , Hom-Lay Wang  1
Affiliations
Review

Wound healing dynamics, morbidity, and complications of palatal soft-tissue harvesting

Lorenzo Tavelli et al. Periodontol 2000. 2023 Jun.

Abstract

Palatal-tissue harvesting is a routinely performed procedure in periodontal and peri-implant plastic surgery. Over the years, several surgical approaches have been attempted with the aim of obtaining autogenous soft-tissue grafts while minimizing patient morbidity, which is considered the most common drawback of palatal harvesting. At the same time, treatment errors during the procedure may increase not only postoperative discomfort or pain but also the risk of developing other complications, such as injury to the greater palatine artery, prolonged bleeding, wound/flap sloughing, necrosis, infection, and inadequate graft size or quality. This chapter described treatment errors and complications of palatal harvesting techniques, together with approaches for reducing patient morbidity and accelerating donor site wound healing. The role of biologic agents, photobiomodulation therapy, local and systemic factors, and genes implicated in palatal wound healing are also discussed.

Keywords: biologic agents; morbidity; pain; photobiomodulation; tissue grafts; treatment errors.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

REFERENCES

    1. Cortellini P, Bissada NF. Mucogingival conditions in the natural dentition: narrative review, case definitions, and diagnostic considerations. J Clin Periodontol. 2018;45(Suppl 20):S190-S198.
    1. Zucchelli G, Tavelli L, Stefanini M, et al. Classification of facial peri-implant soft tissue dehiscence/deficiencies at single implant sites in the esthetic zone. J Periodontol. 2019;90:1116-1124.
    1. Hämmerle CHF, Tarnow D. The etiology of hard- and soft-tissue deficiencies at dental implants: a narrative review. J Clin Periodontol. 2018;45(Suppl 20):S267-S277.
    1. Tavelli L, Barootchi S, Majzoub J, et al. Prevalence and risk indicators of midfacial peri-implant soft tissue dehiscence at single site in the esthetic zone: a cross-sectional clinical and ultrasonographic study. J Periodontol. 2021;93(6):857-866.
    1. Tavelli L, Ravidà A, Barootchi S, Chambrone L, Giannobile WV. Recombinant human platelet-derived growth factor: a systematic review of clinical findings in oral regenerative procedures. JDR Clin Trans Res. 2021;6(2):161-173.

Publication types