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Advanced Technical IVT

Connective Tissue Graft

Also written as: CTG — Connective Tissue Graft

A segment of subepithelial connective tissue harvested—typically from the palate—and grafted around implants or teeth to augment soft-tissue volume and keratinized mucosa.

Full Definition

A connective tissue graft (CTG) is obtained by removing the subepithelial layer of the palatal mucosa, leaving the surface epithelium intact to facilitate donor-site healing. In implantology, CTGs are used to increase the width and thickness of keratinized peri-implant mucosa, correct soft-tissue deficiencies prior to or following implant placement, and improve esthetic outcomes by creating a natural emergence profile. Unlike free gingival grafts (FGGs), CTGs are placed beneath a flap, providing a dual blood supply that promotes graft survival. Editors should distinguish CTG from FGG and from bone grafts, which address hard-tissue rather than soft-tissue deficiencies.

Usage

Usage note: The abbreviation CTG is widely accepted in periodontology and implant literature; spell out in full on first use and thereafter abbreviate consistently within the same document.

In Context

  • "A CTG was sutured into position buccal to the implant to increase mucosal thickness before final abutment selection." — Surgical case notes
  • "The author used 'connective tissue graft' and 'free gingival graft' interchangeably, an error requiring correction during copyediting." — Editorial review comment

Also known as

subepithelial connective tissue graft CTG

Contrasted with

free gingival graft

Don't confuse with

free gingival graft bone graft epithelial graft acellular dermal matrix

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