Patient-oriented and clinical considerations supporting the single-incision subepithelial connective tissue harvest

The subepithelial connective tissue graft (SCTG) has become the gold standard for treating gingival recession. In addition, SCTG is a reliable technique for augmenting the dimensions of attached gingiva and peri-implant mucosa, thereby supporting periodontal and peri-implant health and stability. Various autogenous soft-tissue harvesting techniques have been developed for use in periodontal plastic surgery, each with its own set of advantages and limitations. Over the past 5 years, updated reviews of human palatal anatomy have influenced clinical decision-making regarding SCTG harvesting, expanding the safety zone for palatal SCTG procedures. New histological and molecular findings have provided insights into the underlying mechanisms that may explain the observed differences in clinical outcomes based on the harvesting method and graft type. The purpose of this paper is to recommend a preferred SCTG harvesting technique applicable to most cases and to identify specific clinical scenarios where available evidence may support the use of alternative methods.