Gain of keratinised tissue
Gain of keratinised tissue around teeth
Aim: Gain of keratinised tissue in the anterior-inferior region.
Conclusion: In some cases the absence of attached gingiva is related to discomfort during brushing, persistent gingival inflammation and muscle pulling. In this case, Geistlich Mucograft® was used with the aim of gaining keratinised tissue in the buccal aspect of two lower central incisors, avoiding the harvesting of a free gingival graft from the palate. The final outcome, 6 months after surgery, shows a nice band of keratinised tissue with good colour and texture match. The result of the procedure met the patient’s expectations as brushing can now be properly executed without any discomfort. No attempt was performed to cover the exposed roots at this stage; however, the current clinical situation is now favourable, if a second surgery for root coverage is desired.
Pre-operative situation with absence of buccal keratinised
tissue on teeth 31 and 41. The patient indicated pain during brushing.
Preparation of the surgical bed: a split-thickness flap is elevated and sutured apically.
After trimming to the defect size, Geistlich Mucograft® is sutured to the surgical bed with 5.0 resorbable sutures.
Post-operative situation after 1 week (suture removal).
Nice uneventful re-epithelialisation 2 weeks after surgery.
