Keratinized tissue increase in the lower frontal region

Dr. Domenico Patarino

Initial situation

A female patient (24 years old) requires soft tissue increase in the lower jaw

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

2 - Particular of the clinical situation of element 4.2

3 - Minimum thickness of the keratinized tissue

4 - Flap with releasing incisions

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

7 - Healing at 15 days

8 - Healing at 1 month

9 - Tissue healing at 2 months

10 - Tissue healing at 4 months

11 - Increase of thickness of the keratinized tissue

12 - Orthodontic treatment 10 months after mucogingival surgery

13 - 13 months after surgery

14 - Detail of 4 incisors

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

16 - 24 months after mucogingival treatment

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

Used biomaterials

Derma

OsteoBiol by Tecnoss

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No

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