Gain of keratinized tissue
The band of keratinized tissue around teeth and implants is important in maintaining both functionality and esthetics. It also enables patients to maintain good oral hygiene without irritation or discomfort.1,2
The width of the keratinized mucosa around an implant might also support long term implant stability. This remains a controversial issue3.
Autogenous soft tissue grafts, such as free gingival grafts or connective tissue grafts, create additional keratinized tissue around teeth and implants. However, these procedures are time-consuming and painful for the patient.
Geistlich Mucograft® has significant advantages:
- Gain of keratinized tissue with Geistlich Mucograft® is comparable to a connective tissue graft4 or a free gingival graft5
- No harvest-site morbidity4,5
- Optimal alternative to a connective tissue graft for the gain of keratinized tissue4
Clinical case: Increasing keratinized tissue width around implants.
Pre-operative view. A small band of keratinized gingiva is present.
The band of keratinized gingiva is split and a split-thickness flap is elevated exposing connective tissue and periosteum.
Geistlich Mucograft® is sutured to the recipient bed and left exposed.
Underneath the fibrin clot, the area appears to granulate 1 week post-operative.
Geistlich Mucograft® collagen matrix effectively increases the width of keratinized tissue, without the morbidity and pain associated with a harvest graft site.
Surgery video: Gain of keratinized tissue by Dr. Karin Jepsen, Bonn, Germany.
References:
- Schrott AR, et al.: Clin Oral Implants Res 2009; 20(10): 1170-77.
- Chung DMT, et al.: J Periodontol 2006 ; 77(8): 1410-20.
- Greenstein G, Cavallaro J: Compend Contin Educ Dent 2011; 32(8): 24-31.
- Lorenzo R, et al.: Clin Oral Implants Res. 2012; 23(3): 316-24.
- Nevins M, et al.: Int J Periodontics Restorative Dent 2011; 31(4): 367-73.
CAUTION: Federal law restricts these devices to sale by or on the order of a dentist or physician.