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This case report introduces a novel two\u2010step palatal shield (TSPS) technique using flowable composite resin, designed to simplify donor\u2010site protection, improve patient comfort, and enhance postoperative healing. A female patient, 43 years old, underwent DFGG harvesting from the palate for immediate implant placement with esthetic tissue augmentation. A customized palatal shield was fabricated chairside using flowable composite resin to replicate the presurgical anatomy of the donor site. The shield was tooth\u2010supported and suture\u2010free, allowing rapid insertion and stable wound coverage. The patient was followed postoperatively, with evaluations at suture removal and extended follow\u2010up up to 9 months. The patient reported minimal pain or discomfort at the donor site, and clinical examination showed favorable epithelialization and soft tissue healing. The TSPS technique represents a novel, practical approach for donor\u2010site management utilizing affordable materials. Its immediate preoperative fabrication, tooth\u2010supported stabilization, and suture\u2010free design may simplify the clinical workflow, help reduce operative time, and potentially enhance patient comfort, whereas precise anatomical adaptation appears to promote favorable clot stabilization and healing.<\/jats:p>","DOI":"10.1155\/crid\/3572064","type":"journal-article","created":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T17:40:58Z","timestamp":1786642858000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Two\u2010Step Palatal Shield Technique Using Flowable Composite Resin for Donor\u2010Site Protection Following De\u2010Epithelialized Free Gingival Grafting: A Case Report Illustrating a Novel Technique"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1146-3257","authenticated-orcid":false,"given":"Lucas Raineri","family":"Capeletti","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8285-5410","authenticated-orcid":false,"given":"Marcelo Pereira","family":"Nunes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8490-3780","authenticated-orcid":false,"given":"Washington Macedo","family":"Santana","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8053-2407","authenticated-orcid":false,"given":"Jo\u00e3o Ant\u00f4nio Chaves","family":"de Souza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3906-9668","authenticated-orcid":false,"given":"Paulo Vitor Fernandes","family":"Braz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1018-2544","authenticated-orcid":false,"given":"France","family":"Lambert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6056-425X","authenticated-orcid":false,"given":"Carlos Alexandre Soares","family":"Andrade","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,13]]},"reference":[{"key":"e_1_2_11_1_2","doi-asserted-by":"publisher","DOI":"10.5005\/jp-journals-10024-3304"},{"key":"e_1_2_11_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13869"},{"key":"e_1_2_11_3_2","doi-asserted-by":"publisher","DOI":"10.3290\/j.qi.a33688"},{"key":"e_1_2_11_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-016-2007-9"},{"key":"e_1_2_11_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/clr.13756"},{"key":"e_1_2_11_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/clr.13829"},{"key":"e_1_2_11_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/clr.14150"},{"key":"e_1_2_11_8_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41432-020-0138-y"},{"key":"e_1_2_11_9_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijms21145043"},{"key":"e_1_2_11_10_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-023-30890-8"},{"key":"e_1_2_11_11_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-025-05680-5"},{"key":"e_1_2_11_12_2","doi-asserted-by":"publisher","DOI":"10.1563\/aaid-joi-D-25-00049"},{"key":"e_1_2_11_13_2","doi-asserted-by":"publisher","DOI":"10.4317\/medoral.27184"},{"key":"e_1_2_11_14_2","doi-asserted-by":"publisher","DOI":"10.30476\/DENTJODS.2019.44916"},{"key":"e_1_2_11_15_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18094504"},{"key":"e_1_2_11_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/prd.12466"},{"key":"e_1_2_11_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12404"},{"key":"e_1_2_11_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-020-03320-6"},{"key":"e_1_2_11_19_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-025-06898-z"},{"key":"e_1_2_11_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12357"},{"key":"e_1_2_11_21_2","doi-asserted-by":"publisher","DOI":"10.15171\/jpid.2014.009"},{"key":"e_1_2_11_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jds.2020.03.014"},{"key":"e_1_2_11_23_2","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.20-0122"},{"key":"e_1_2_11_24_2","first-page":"82","article-title":"Comparison Between Subepithelial Connective Tissue Graft and De-Epithelialized Gingival Graft: A Systematic Review and a Meta-Analysis","volume":"21","author":"Tavelli L.","year":"2019","journal-title":"Journal of the International Academy of Periodontology"},{"key":"e_1_2_11_25_2","first-page":"10","article-title":"Histological Evaluation of Subepithelial Connective Tissue Grafts Harvested by Two Different Techniques. 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