Recession coverage

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

Autogenous soft tissue grafts, such as free gingival grafts or connective tissue grafts, have proven successful in covering recession defects.1 However, harvesting those grafts, usually from the palate, is painful, technically demanding, time consuming and may lead to complications such as bleeding, pain, swelling, and occasionally also numbness or infections.3-6

Geistlich Fibro-Gide® or Geistlich Mucograft® combined with a coronally advanced flap or in minimal invasive techniques represent a viable alternative to recession coverage with an autologous graft.7,8,14,15. As their use spares creating a second surgical site, collagen matrices such as Geistlich Mucograft® or Geistlich Fibro-Gide® are associated with less chair time, patient pain perception and lower patient morbidity when compared to autogenous grafts.10-13

  

References:

  1. Chambrone L, et al.: Cochrane Database Syst Rev (2): CD007161. (systematic review)
  2. Bignozzi I, et al.: J Periodontal Res. 2014; 49(2): 143-63. (review)
  3. Griffin TJ, et al.: J Periodontol 2006; 77: 2070-79. (clinical study)
  4. Soileau KM, et al.: J Periodontol 2006; 77: 1267-73. (clinical study)
  5. Zucchelli G, et al.: J Clin Periodontol 2010; 37: 728-38. (clinical study)
  6. Cairo F, et al.: J Clin Periodontol 2012; 39: 760-68. (clinical study)
  7. McGuire MK & Scheyer ET: J Periodontol 2016; 87(3): 221-7. (clinical study)
  8. Cardaropoli D, et al.: J Periodontol 2012; 83(3): 321-28. (clinical study)
  9. Griffin TJ, et al.: J Periodontol 2006; 77: 2070-79. (clinical study)
  10. Sanz M, et al.: J Clin Periodontol 2009; 36(10): 868-76. (clinical study)
  11. Geistlich Mucograft® Seal Advisory Board Meeting Report, 2013. Data on file, Geistlich Pharma AG, Wolhusen, Switzerland.
  12. Lorenzo R, et al.: Clin Oral Impl Res 2012; 23(3): 316-24. (clinical study)
  13. Thoma OS, et al. J Clin Periodontol 2016; 43(10): 874-85. (clinical study)
  14. Schultze-Späte, U and Lee CT. Int J Periodontics Restorative Dent. 2019 Sep/Oct;39(5):e181-e187. (clinical study)
  15. Stefanini M, et al. Clin Oral Investig. 2020 May 2. doi: 0.1007/s00784-019-03192-5. [Epub ahead of print] (clinical study)
Verena Vermeulen
Senior Scientific Communication Manager