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E. Todd Scheyer

Houston, United States

Clinical case description:

Recession coverage with Geistlich Mucograft® and CAF provides an acceptable option to connective tissue graft and CAF. A notable creeping attachment of the gingiva is observed in this case with Geistlich Mucograft® during the healing of the surgical site and optimal outcomes after 6 months appear to have further improved at 1 year follow-up. Surgery by Dr. Michael K. McGuire and Dr. E. Todd Scheyer.

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<p>1) Pre-operative image showing the recession defect (tooth 13). 2) After elevation of a partial thickness flap, the interdental papillae are de-epithelialised.</p>

1) Pre-operative image showing the recession defect (tooth 13). 2) After elevation of a partial thickness flap, the interdental papillae are de-epithelialised.

<p>3) Geistlich Mucograft<sup>®</sup> is placed over the defect and sutured to the papillae. 4) The flap is coronally advanced and sutured completely covering the 3D-matrix.</p>

3) Geistlich Mucograft® is placed over the defect and sutured to the papillae. 4) The flap is coronally advanced and sutured completely covering the 3D-matrix.

<p>5) Healing of the surgical site 1 week after treatment. 6) Post-operative situation after 4 weeks.</p>

5) Healing of the surgical site 1 week after treatment. 6) Post-operative situation after 4 weeks.

<p>8) Optimal outcome 6 months post-operative. Note the natural appearance of the soft tissue achieved with Geistlich Mucograft<sup>®</sup>. 9) O utcome 1 year after treatment.</p>

8) Optimal outcome 6 months post-operative. Note the natural appearance of the soft tissue achieved with Geistlich Mucograft®. 9) O utcome 1 year after treatment.

Pre-surgery


					<p>1) Pre-operative image showing the recession defect (tooth 13). 2) After elevation of a partial thickness flap, the interdental papillae are de-epithelialised.</p>

Surgery


					<p>3) Geistlich Mucograft<sup>®</sup> is placed over the defect and sutured to the papillae. 4) The flap is coronally advanced and sutured completely covering the 3D-matrix.</p>

Outcome


					<p>5) Healing of the surgical site 1 week after treatment. 6) Post-operative situation after 4 weeks.</p>

Follow-up after at least 6 months


					<p>8) Optimal outcome 6 months post-operative. Note the natural appearance of the soft tissue achieved with Geistlich Mucograft<sup>®</sup>. 9) O utcome 1 year after treatment.</p>