Gain of keratinised tissue
Gain of keratinised tissue around teeth
Aim: Increasing the width of keratinised tissue without harvest of autogenous soft-tissue graft.
Conclusion: The 3D-matrix Geistlich Mucograft® may be used successfully to increase keratinised tissue around teeth without the need of harvesting free gingival graft from the palate. The aesthetic outcome is optimal and stable over time (1 year).
Lack of keratinised tissue in a patient with thin biotype, abrasion in 33, inexact filling on 34 and provisional crowns on 35 and 36.
The surgical bed is prepared. After stripping (split-thickness flap) the muscular fibres in the apical region are sutured to the periosteum.
Trimming, positioning, stabilisation and immobilisation of Geistlich Mucograft® with sutures 5.0.
The surgical site is protected with a periodontal dressing fixed in the interproximal spaces.
Clinical situation 10 days after surgery. Note the rapid granulation (healing) of the treated site.
Clinical situation 3 weeks after surgery. The treated site has re-epithelialised rapidly and the width of keratinised tissue is increased.
Follow-up 2 months post-operative. Note the gain of the gingival margin at the treated site.
Follow-up 6 months after surgery. Note the increase of keratinised tissue and its perfect integration to surrounding tissues.
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