Gain of Keratinized Mucosa Around Teeth and Dental Implants Using a Combination of Strip Gingival Graft and Acellular Dermal Matrix

Inclusion Criteria: * English speaking * At least 18 years old * Able to read and understand informed consent document * Patients with teeth/implants lacking keratinized tissue. * Must be a patient of the UAB Dental School * Presence of periodontally healthy, non-carious neighboring teeth, healthy implants or edentulous ridges on either side of the involved site(s) Exclusion Criteria: * Non-English speaking * Less than 18 years old * Smokers/tobacco users (\>10 cigarettes/day) * Patients with systemic pathologies or conditions contraindicating oral surgical procedures or adversely affecting wound healing * Presence of active periodontal disease * Previous soft tissue grafting at the site(s) to be treated