• Following elevation of the flap, mucoderm® matrix was applied. In addition, a connective tissue graft was placed in tooth 13 and 14.
Maria Marta Fernandez
Dr. Maria Marta Fernandez
Argentina

CLINICAL CASE

Application of mucoderm® for the treatment of multiple gingival recessions in the maxillary anterior and premolar regions: A 5-year follow-up

Dr. Maria Marta Fernández

Description:

A patient presenting with multiple gingival recessions in the maxillary anterior and premolar regions was treated using a coronally advanced flap (CAF) in combination with the xenogeneic collagen matrix mucoderm®. In selected sites presenting more advanced soft tissue deficiencies, an additional connective tissue graft (CTG) was placed to enhance soft tissue thickness and optimize root coverage outcomes.

After flap elevation and root surface preparation, mucoderm® was adapted to the recipient sites and stabilized beneath the coronally advanced flap. In the region of teeth 13 and 14, a connective tissue graft was additionally placed to improve tissue volume and gingival stability. The surgical sites were subsequently coronally repositioned and sutured for tension-free wound closure.

The 5-year follow-up demonstrated stable root coverage, harmonious soft tissue integration, increased gingival thickness, and long-term volume stability, with highly satisfactory aesthetic outcomes.

Initial clinical situation, frontal view showing multiple gingival recessions.
Initial clinical situation: Frontal view in occlusion.
Initial clinical situation: Lateral view of the upper right dental arch.
Initial clinical situation: Lateral view of the upper left dental arch.
Following elevation of the flap, mucoderm® matrix was applied. In addition, a connective tissue graft was placed in tooth 13 and 14.
Covering of the treated area and closure with sutures.
Elevation of the coronally advanced flap in the contralateral treatment area prior to mucoderm® application.
Clinical situation after completion of the surgical procedure and suturing.
Five-year follow-up: Frontal view demonstrating stable root coverage and soft tissue integration and volume retention.
Five-year follow-up: Frontal view in occlusion.
Five-year follow-up: Lateral view of the upper right dental arch.
Five-year follow-up: Lateral view of the upper left dental arch.

mucoderm®Soft tissue management

Also interesting

Academy

0
Surgeries
0
Webinars
0
Specialists