Gingival recession
Gingival recession is extremely common and can lead to complications such as root caries, compromised esthetic appearance, impaired oral hygiene and root surface hypersensitivity.1,2
Various grafting techniques have been developed for recession coverage including the use of an autogenous soft tissue graft in conjunction with a coronally advanced flap. Geistlich Mucograft® combined with a coronally advanced flap represents a viable alternative to this procedure.3,4
Grafting autogenous connective tissue or using a Geistlich Mucograft® collagen matrix both result in comparable recession coverage3 and comparable gain of keratinized tissue3,4 when used in combination with a coronally advanced flap. However, the Geistlich Mucograft® matrix:
- results in less patient pain and morbidity3,4
- eliminates the need for soft tissue harvesting3,4
- provides optimal esthetic matching of surrounding soft tissue3,4
Clinical case: Single recession coverage with a coronally advanced flap and Geistlich Mucograft® for a thin gingival biotype.
Pre-operative image showing the recession defect (tooth 6).
After elevation of a partial thickness flap, the interdental papillae are de-epithelialized.
Geistlich Mucograft® is placed over the defect and sutured to the papillae.
The flap is coronally advanced and sutured, completely covering the 3D-matrix.
Geistlich Mucograft® collagen matrix treats gingival recession effectively in conjunction with a coronally advanced flap, without creating the additional patient pain associated with harvesting a soft-tissue graft.
Surgery video: Multiple recession coverage by Dr. Cardaropoli, Torino, Italy
References:
- Chambrone L, et al.: Cochrane Database Syst Rev (2): CD007161.
- Bignozzi I, et al.: J Periodontal Res 2013 May 7.
- Cardaropoli D, et al.: J Periodontol 2012; 83(3): 321-28.
- McGuire MK & Scheyer ET: J Periodontol 2010; 81(8): 1108-17.
CAUTION: Federal law restricts these devices to sale by or on the order of a dentist or physician.