Techniques for coating recessions
Currently there are different techniques for coating recessions, such as: coronal flaps replacement, the tunnel technique, grafts or subepithelial free connective tissue being autologous connective with or without coating the technique of choice. However, these implants involves a second surgical field with consequent postoperative discomfort in the palatal area.
The matrix must be handled dry and should be seated on the cemento-enamel junction. The flap should cover 2 or 3 millimeters of the matrix, and the suture must press on the enamel, allowing the porous part allow blood to pool.
For the viability of the biomaterial is fundamental lack of mobility flap. The Mucograft reabsorbed between 15 and 20 days, appearing slight swelling at 30 days, since it is an immature tissue and should not brush until 6 weeks. At 3 months, the tissue is ripe with the appearance of rete pegs.
case Study
We present a young patient with bilateral maxillary first molars recessions caused by brushing trauma and large tooth sensitivity. The patient consulted us the ability to cover their recessions without connective graft and thus solve their hypersensitivity.
After correcting his brushing technique patients techniques root coating, a graft connective and other matrices using collagen arises Mucograft. Once the patient explained the pros and cons of both techniques, it opted for the use of collagenous matrices. Langer flaps are made and modified Langer and 2.6 1.6. In the photographic sequence the surgical procedure and follow-up of the case is ten days, a month and a year, proving the stability and increased tissue volume.