Keratinized tissue increase in the lower frontal region

Dr. Domenico Patarino
Initial situation

A female patient (24 years old) requires soft tissue increase

Used biomaterials
  • Derma
1 - Gingival recessions in the lower arch due to dental malposition and insufficient keratinized tissue, considering the aim of an orthodontic treatment

1 - Gingival recessions in the lower arch due to dental malposition and insufficient keratinized tissue, considering the aim of an orthodontic treatment

2 - Particular of the clinical situation of element 4.2

2 - Particular of the clinical situation of element 4.2

3 - Minimum thickness of the keratinized tissue

3 - Minimum thickness of the keratinized tissue

4 - Flap with releasing incisions

4 - Flap with releasing incisions

5 - Derma sutured coronally to the CEJ

5 - Derma sutured coronally to the CEJ

6 - Resorbable suture that covers the graft completely, with periostal anchorage to reduce the muscular tension on the flap

6 - Resorbable suture that covers the graft completely, with periostal anchorage to reduce the muscular tension on the flap

7 - Healing at 15 days

7 - Healing at 15 days

8 - Healing at 1 month

8 - Healing at 1 month

9 - Tissue healing at 2 months

9 - Tissue healing at 2 months

10 - Tissue healing at 4 months

10 - Tissue healing at 4 months

11 - Increase of thickness of the keratinized tissue

11 - Increase of thickness of the keratinized tissue

12 - Orthodontic treatment 10 months after mucogingival surgery

12 - Orthodontic treatment 10 months after mucogingival surgery

13 - 13 months after surgery

13 - 13 months after surgery

14 - Detail of 4 incisors

14 - Detail of 4 incisors

15 - B/w picture that enlightens the quantity of keratinized tissue and the mucogingival morphology

15 - B/w picture that enlightens the quantity of keratinized tissue and the mucogingival morphology

16 -  24 months after mucogingival treatment

16 - 24 months after mucogingival treatment

17 - 30 months after mucogingival  treatment: stability  of keratinized tissue and leveling of the mucogingival morphology

17 - 30 months after mucogingival treatment: stability of keratinized tissue and leveling of the mucogingival morphology

Used biomaterials
derma
Derma
Are you a medical professional?
No

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