Keywords
Gingival Recession
Root Coverage
Connective Tissue
How to Cite
Abstract
The use of autogenous connective tissue graft is considered the gold standard for the treatment of gingival recessions (GR), both in terms of aesthetics and percentage of root coverage and predictability. However, this technique has some disadvantages, such as the need for a second surgical site, in addition to the limited amount of graft to be made available. Therefore, a suitable substitute would reduce these limitations, in addition to being able to provide a post-operative period with greater comfort and a greater scope in the total number of teeth treated in a single session. Based on this information, recently a new xenogeneic collagen matrix of porcine origin (Fibro Gide®) was created by Geistlich Pharma AG (Wolhusen, Switzerland, Switzerland). The objective of this case report was the clinical evaluation of the use of this new collagen matrix as a viable substitute for autogenous connective tissue in the treatment of GR. Female patient, 58 years old, without diagnosed systemic changes and non-smoker, sought care in a private office with aesthetic complaints and fear of losing her teeth, in the region of teeth 13 to 17. On oral clinical examination, multiple GR. Root coverage was planned and performed on teeth 13, 14, 15, 16 and 17 using the coronally positioned flap technique associated with the use of Fibro-Gide ®. PO follow-up took place at 7, 15 and 21 days until now. The use of the Fibro-Gide® xenogeneic collagen matrix proved to be quite satisfactory, covering the entire area of the GR between 70 and 100% in the immediate PO and over the course of the days. Furthermore, an excellent PO was evidenced, which presented adjacent tissues similar in color, shape and texture. Based on the above, it was concluded that Fibro-Gide® is an excellent option of choice as a substitute material for autogenous connective tissue for root coverage of multiple RG and gain of keratinized tissue in thickness and height.
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