Abstract

Autologous buccal fat pad graft is widely utilized for the closure of oroantral and oronasal fistulas, as well as for reconstructing intraoral post-operative soft tissue defects. However, its primary use is as a pedicled flap, which may lead to complications such as necrosis, graft failure, hematoma, infection, facial nerve injury, arterial bleed- ing, donor site morbidity, trismus, wound dehiscence, and excessive granulomatous tissue formation. To address these limitations, numerous clinical reports have emerged advocating the use of buccal fat free grafts. In this manuscript, buccal fat free graft was performed on a 26-year-old female patient following the removal of a pleo- morphic adenoma on the palatal side, resulting in successful healing. This illustrates that buccal fat free graft may be an effective surgical method for the reconstruction of various intraoral defects. (J Korean Dent Assoc 2025; 63(7): 0-0)