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Connective tissue graft (CTG) is considered the gold standard for soft-tissue correction and augmentation surgeries, but involves a secondary donor area and its associated complications. The techniques to harvest CTG have undergone a large number of modifications over a period of 44 years since the time it was introduced by Edel in 1974 to increase the width of keratinized gingiva. This review compiles all the techniques of graft harvest from the palate and their modifications which have been introduced in the last 44 years till date. A novel pedicle autograft, vascularized interpositional periosteal connective tissue (VIP-CT) flap has been introduced for predictable large soft tissue augmentation in a single procedure. Excellent blood supply, less morbidity, primary closure of donor and recipient bed are the additional advantage of this flap. Furthermore, it does not alter the color of the area and is more agreeable to the patient because it involves a single surgical site. This study was undertaken to evaluate the efficacy of VIP-CT flap in augmenting the ridge defect. #preservaaolavelor #ridge_official #ridge #criteriabiomaterials #futuredental @lucasseverinocveduardo.denser @traumashopmaterials @microsurgery @periodontology_team @periodontology_world @ridge_oficial @denti_pro