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Localized Augmentation

Localized augmentation

Case by Prof. Dr. Mariano Sanz and Dr. Ramón Lorenzo

Pre-operative image: note the minimal amount of keratinized tissue around the premolar and molar sites

Split thickness flap is elevated to prepare the surgical bed for the soft tissue device

Mucograft is trimmed in a dry state to the defect size

Mucograft is sutured to the prepared surgical bed and left exposed for healing


Healing of the soft tissue ten days after surgery, before suture removal	Post-operative view after one month	Situation after three months	Presence of a band of keratinized tissue (4 mm) six months after treatment

		Case by Drs. Doina Panaite and Allan Charles

Pre-operative view: a small band of keratinized tissue is present	A split thickness flap is elevated exposing connective tissue and periosteum	Mucograft is sutured to the recipient bed and left exposed	The outer surface of Mucograft is epithelialized one week post-op



Exellent wound healing four weeks after surgery	Post-operative view after three months	Lugol’s iodine staining delineating keratinized tissue at six months	Mucogingival appearance (4 mm of keratinized tissue) six months after surgery

		Case by Dr. Stephen Wallace

Patient presented with thin, insufficient soft tissue at site #30. A crestal incision is made in preparation for implant placement and soft tissue augmentation	A full thickness flap is reflected for implant and Mucograft insertion	Mucograft is trimmed in its dry state and inserted into the envelope created between the bone and mucogingival tissue	Mucograft rapidly absorbs blood and facilitates hemostasis. It adapts easily around the healing abutment



Simple interrupted 4-0 chromic gut sutures are used to reposition the flap	Expanded Buccal contour and broad zone of keratinized tissue covering 4 mm healing abutment at three months

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