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Daniel Gober

Cedarhurst, United States

Clinical case description:

Multiple adjacent recession defects were treated with Geistlich Mucograft® as a substitute for a sub-epithelial connective tissue graft. Chairtime was decreased and more importantly, the patient was spared from the morbidity associated with donor site healing.

 

Recipient site preparation consisted of scooping incisions, full thickness (coronally)-partial thickness (apically) flap reflection, de-epithelization of the papillas, and reduction of root prominence. The Geistlich Mucograft® matrix was secured in place with overlying mattress sutures and a coronally advanced flap was employed to completely cover the matrix. Note how the matrix adapts to the recipient site once it becomes soaked with blood. Complete root coverage and an increase in tissue thickness was achieved and remains stable after 1 year.

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<p>Pre-Operative view of recession defects</p>

Pre-Operative view of recession defects

<p>Geistlich Mucograft<sup>®</sup> adapted over recipient bed and root surfaces</p>

Geistlich Mucograft® adapted over recipient bed and root surfaces

<p>Coronally Advanced Flap sutured over Geistlich Mucograft<sup>®</sup></p>

Coronally Advanced Flap sutured over Geistlich Mucograft®

<p>1 Year Post-Op</p>

1 Year Post-Op

Pre-surgery


							<p>Pre-Operative view of recession defects</p>

Surgery


							<p>Geistlich Mucograft<sup>®</sup> adapted over recipient bed and root surfaces</p>

Outcome


							<p>Coronally Advanced Flap sutured over Geistlich Mucograft<sup>®</sup></p>

Follow-up after at least 6 months


							<p>1 Year Post-Op</p>