Keratinised tissue gain around teeth

Dr. Domenico Patarino
Initial situation

A male patient (64 years old) shows a gingival recession in the anterior region (lower jaw)

Used biomaterials
  • Derma
1. Lower jaw: gingival recessions in the anterior region

1. Lower jaw: gingival recessions in the anterior region

2. Dental element 3.3: 10-mm Miller class II recession from CEJ

2. Dental element 3.3: 10-mm Miller class II recession from CEJ

3. Partial thickness trapezoidal flap and papillar dissection

3. Partial thickness trapezoidal flap and papillar dissection

4. Coronal mobilization of the flap

4. Coronal mobilization of the flap

5. Derma membrane hydrated with saline and blood

5. Derma membrane hydrated with saline and blood

6. Occlusal view of the graft sutured at the receiving site

6. Occlusal view of the graft sutured at the receiving site

7. Derma graft, shake and apically sutured to CEJ and stabilized laterally with resorbable suture to the receiving site

7. Derma graft, shake and apically sutured to CEJ and stabilized laterally with resorbable suture to the receiving site

8. Coronally elevated flap to uncover the graft: occlusal view

8. Coronally elevated flap to uncover the graft: occlusal view

9. Sutures to enhance the adaptation of the coronal margin of the flap to the dental convexity, single sutures to stabilize the flap

9. Sutures to enhance the adaptation of the coronal margin of the flap to the dental convexity, single sutures to stabilize the flap

10. Healing at 20 days

10. Healing at 20 days

11. Healing at 2 months: good coverage of the roots and levelling of the muco-gingival line

11. Healing at 2 months: good coverage of the roots and levelling of the muco-gingival line

12. Healing at 9 months: good coverage of the roots and levelling of the muco-gingival line

12. Healing at 9 months: good coverage of the roots and levelling of the muco-gingival line

13. Comparison between the initial situation and the tissues at 9 months

13. Comparison between the initial situation and the tissues at 9 months

Used biomaterials
derma
Derma
Are you a medical professional?
No

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