Navya Paladugu Devi, Rajasekar Arvina
Department of Periodontics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India.
J Adv Pharm Technol Res. 2022 Nov;13(Suppl 1):S358-S361. doi: 10.4103/japtr.japtr_169_22. Epub 2022 Nov 30.
Attached gingiva around the teeth is crucial in preserving periodontal health. Plaque development and soft-tissue recession are both prevented by adequate attached gingiva. The processes for harvesting soft-tissue grafts are frequently accompanied by some level of morbidity which results in commercially available xenogeneic collagen matrices. The blood clot is more effectively stabilized by this collagen matrix, which also promotes vascularization. Furthermore, this biomaterial enhances root coverage and keratinized gingiva regeneration in both width and thickness. The purpose of the case report is to increase the width of attached gingiva using Mucograft. This case report highlights a case scenario where a patient presented with probing depth of 6-8 mm in relation to 24, 25, 26, 27, and 28, Grade I mobility in relation to 25.26, and 1 mm of the width of attached gingiva in relation to 25, 26, and 27. Flap surgery was done and simultaneously vestibular deepening was done in relation to 25, 26, and 27, and mucograft was placed and stabilized. On a 3-month follow-up, probing pocket depth was 3 mm and 4 mm of width of the attached gingiva was seen in 25, 26, and 27. The Mucograft was beneficial in this clinical case for the purpose of extending the width of the associated gingiva, making it a feasible treatment option for soft-tissue augmentation.
牙齿周围的附着龈对于保持牙周健康至关重要。充足的附着龈可预防菌斑形成和软组织退缩。获取软组织移植物的过程常常伴随着一定程度的发病率，这导致了市售的异种胶原基质的出现。这种胶原基质能更有效地稳定血凝块，还能促进血管化。此外，这种生物材料可增强牙根覆盖以及角化龈在宽度和厚度上的再生。该病例报告的目的是使用Mucograft增加附着龈的宽度。本病例报告突出了这样一个病例情况：一名患者24、25、26、27和28号牙的探诊深度为6 - 8毫米，25、26号牙为I度松动，25、26和27号牙的附着龈宽度为1毫米。进行了翻瓣手术，同时对25、26和27号牙进行了前庭加深，并放置并固定了Mucograft。在3个月的随访中，25、26和27号牙的探诊袋深度为3毫米，附着龈宽度为4毫米。在这个临床病例中，Mucograft对于增加相关牙龈的宽度是有益的，使其成为软组织增量的一种可行治疗选择。
