Management of inadequate width of attached gingiva using mucograft

Abstract

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.

Keywords

• attached gingiva
• keratinized gingiva
• mucograft
• regeneration
• shallow vestibule