Aim: This study aimed to compare the clinical outcomes of free gingival grafts 
(FGGs) stabilized by silk sutures and Vicryl Plus sutures in the treatment of gingival 
recession in periodontal surgery Subjects and methods: A total of 60 patients with 
gingival recession were randomly allocated into two groups: FGGs fixed using silk 
sutures (n=30) and FGGs fixed using Vicryl Plus sutures (n=30). Graft healing, infection 
rates, and patient-reported outcomes (pain, comfort, and satisfaction) were assessed at 
one week, one month, and three months postoperatively. Results: At the three-month 
follow-up, the Vicryl Plus sutures group demonstrated significantly better graft healing 
compared to the silk sutures group (p < 0.05). The infection rates were significantly 
lower in the Vicryl Plus sutures group at all follow-up time points (p < 0.05). Patients 
in the Vicryl Plus sutures group reported lower pain levels, greater comfort, and higher 
satisfaction with the surgical outcomes compared to the silk sutures group (p < 0.05). 
Conclusion: FGGs stabilized by Vicryl Plus sutures resulted in improved clinical 
outcomes compared to those fixed with silk sutures, including better graft healing, 
lower infection rates, and superior patient-reported outcomes. Vicryl Plus sutures may 
be considered a more favorable option for FGG fixation in periodontal surgery