The Clinical Usage of a Free Gingival Graft Combined With Frenotomy in Patients With High Frenal Attachment

Inclusion Criteria: * Ages 18-40 years old * Systemically healthy * Gingival and plaque index \<10 * Good oral hygiene * Highly attached mandibular labial frenum. * Narrow sulcus depth * Thin gingival phenotype Exclusion Criteria: * Smokers * Poor oral hygiene * Patient with a physical disability that hinders the upkeep of good oral hygiene measures. * Taking any medications that could affect healing * Any systemic diseases that delay wound healing. * Deep sulcus * Thick gingival phenotype * Pervious frenal procedures * Pregnant or lactating females * Pervious periodontal surgery within the last 6 months before the start of the trial