Attached gingiva: A review through the history

The attached gingiva acts as a protective barrier and stabilizes the gingival margin. Its role in periodontal health has been debated for decades. With the rise of esthetic dentistry, the importance of attached gingiva in preventing gingival recession and aiding patient comfort in oral hygiene became clear. Techniques to augment attached gingiva have evolved over the years. Initial methods like the apically repositioned flap gave way to advanced procedures such as free gingival grafts and connective tissue grafts, offering better esthetic outcomes. Recent advancements focus on minimally invasive techniques and using allograft and xenograft materials to reduce morbidity. This review explores the historical and contemporary significance of attached gingiva in periodontal and peri-implant health.