Table 1 Advantages and disadvantages of different PIKM Augmentation Surgeries

From: Expert consensus on peri-implant keratinized mucosa augmentation at second-stage surgery

Surgery

Advantage

Disadvantage

ARF

- No need for a second surgical site.

- Good color-match.

- Optimal for posterior maxilla.

- Application restricted by remaining width of KM in the mandible.

FGG

- Predictable and reliable increase in KM width.

- Long-term stability.

- Application not limited by remaining width of KM.

- Donor site morbidity.

- Color mismatch.

- Limited by donor site area.

SFGG

- Hardly limited by donor site area.

- Usable for large-scale augmentations

- Good color-match compared to FGG.

- Less donor site trauma than FGG.

- Technique sensitive.

- Time-consuming.

Soft Tissue Substitutes

- Avoids donor site complications.

- Good color-match compared to FGG.

- Usable for large-scale augmentations.

- Shorter surgical duration.

- High cost.

- Higher contraction rate.