Lack of Keratinized Tissue

Gingival recession is extremely common and can lead to complications such as root caries, compromised aesthetic appearance, reduced oral hygiene and root surface hypersensitivity.1,2 

Various grafting techniques have been developed for recession coverage, including the transplant of autogenous tissue in conjunction with a coronally advanced flap. Geistlich Mucograft® combined with a coronally advanced flap represents a viable alternative to this procedure3,4.

Grafting autogenous connective tissue or using a Geistlich Mucograft® collagen matrix both result in comparable mean recession coverage3 and comparable gain of keratinised tissue3,4 when used in combination with a coronally advanced flap. However, the Geistlich Mucograft® matrix

  • Is associated with lower patient morbidity3,4
  • Eliminates the need for soft-tissue harvesting3,4   

Clinical case: Single recession coverage with a coronally advanced flap and Geistlich Mucograft® for a thin gingival biotype.

Pre-operative image showing the recession defect (tooth 13).
After elevation of a partial thickness flap, the interdental papillae are de-epithelialised.
Geistlich Mucograft® is placed over the defect and sutured to the papillae.
The flap is coronally advanced and sutured, completely covering the 3D-matrix.
Outcome 1 year after treatment. Note the natural appearance of the soft tissue achieved with Geistlich Mucograft®.

Case by Dr. Michael K. McGuire & E. Todd Scheyer, Texas, USA

Geistlich Mucograft® collagen matrix treats gingival recession effectively in conjunction with a coronally advanced flap, without creating additional pain. 

  1. Chambrone L, et al.: Cochrane Database Syst Rev (2): CD007161.
  2. Bignozzi I, et al.: J Periodontal Res 2013 May 7.
  3. Cardaropoli D, et al.: J Periodontol 2012; 83(3): 321-28.
  4. McGuire MK & Scheyer ET: J Periodontol 2010; 81(8): 1108-17.

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