engleski

Root coverage using commercially available collagen tissue matrix – a case report

Aim: Introduction: The indications for mucogingival periodontal surgery have increased in recent years as did the patient awareness regarding aesthetics and function. Gingival recessions do not require mucogingival surgery unless there is constant inflammation, poor aesthetics, hypersensitivity or orthodontic reasons. The goal of the mucogingival surgery is mostly to cover recession. Material and Methods: Case report: Patient D.B. (male, 31 y) has been diagnosed with a facially localized 6 mm wide Miller class II gingival recession on a left lower incisor. Two-phase surgical treatment was recommended. In first phase free gingival graft (FGG) 10 mm long, 5 mm wide was harvested from the palate and placed at the recipient site 1.5 mm apical to the gingival margin. Two years later in the second stage surgery coronal repositioning and soft tissue augmentation was performed using commercially available collagen tissue matrix derived of animal dermis mucoderm® (botissdental GmbH, Berlin, Germany), thus avoiding a second surgery at the palate. Results: Discussion and Conclusion: Six months later attachment level and keratinized gingiva have been significantly broadened. Initially absent keratinized gingiva was now 6 mm wide and gingival recession was reduced from 6 mm to 1 mm. Conclusion: Aesthetic results are satisfactory, ensuring that the patient performs trauma-free oral hygiene procedures.

gingival recession; keratinized gingiva; Mucoderm

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