The use of a connective tissue graft (CTG) for the purpose of increasing the width of keratinized gingiva was first described by alan Edel in 1974.1 Since then, many im- provements have been suggested to meet the needs of the continually evolving fields of periodontal plastic surgery and implan- tology. Besides widening of the keratinized tissue, increasing the soft tissue volume is the other main goal of soft tissue grafting in- terventions. as a consequence of the higher esthetic and functional demand, soft tissue replacement grafts are widely used to treat a variety of procedures such as soft tissue augmentation, ridge preservation, recession coverage, papilla reconstruction, furcation treatment as well as the management of tis- sue abnormalities such as scar corrections.