Gum Transplant

Case #218 : Gingival transplant
Courtesy : Dr. Nico Kamosi

History of present complaints (HPC): Mucogingival deformity
Clinical presentation upper dentition: Moderate periodontal biotype, generalised gingival recession, excessive exposed root surfaces;
Diagnosis: Gingival Recession Type 1/2; Recession depth: 3mm-5mm; Gingival thickness: 1mm; keratinized tissue width: 1mm-4mm; Cementoenamel junction: Class A (detectable CEJ); Root surface concavity: Class + (presence of cervical step: > 0.5 mm).
Specialist Periodontal treatment: Pre-orthodontic Mucogingival periodontal plastic surgery; Bilaminar enveloped connective tissue transplant (CTG) technique was performed to increase the thickness and width of the attached keratinized gingiva (KT), and to obtain root coverage (Langer & Langer 85, Raetzke 85).

Case #219 : Gingival correction
Courtesy : Dr. Nico Kamosi

Clinical presentation: Generalised gingival hypertrophy; Mucogingival deformity
Local factors: Fixed orthodontic appliances and dental plaque
Periodontal treatment: Resection mucogingival surgery with LASAR.

Case #220 : Gum transplant
Courtesy : Dr. Nico Kamosi

History of present complaints (HPC): Mucogingival deformity
Clinical presentation tooth 42.41.31.32: Thin periodontal biotype, gingival recession, reduced vestibular depth, aberrant frenum/muscle pull, exposed root surface; Other local factors: localized orthodontic-induced trauma;
Diagnosis: Gingival Recession Type 1; Recession depth: 2-4mm; Gingival thickness: <1mm; keratinized tissue width: 0.5mm; Cementoenamel junction: Class A (detectable CEJ); Root surface concavity: Class – (absence of a cervical step: 0.5 mm).
Specialist Periodontal treatment: Mucogingival periodontal plastic surgery; Bilaminar enveloped connective tissue transplant (CTG) technique was performed to increase the thickness and width of the attached keratinized gingiva (KT), and to obtain root coverage (Langer & Langer 85, Raetzke 85).

Case #221 : Gum transplant
Courtesy : Dr. Nico Kamosi

History of present complaints (HPC): Mucogingival deformity
Clinical presentation tooth 41: Thin periodontal biotype, gingival recession, reduced vestibular depth, aberrant frenum/muscle pull, exposed root surface;
Other local factors: localized orthodontic-induced trauma;
Diagnosis: Gingival Recession Type 1; Recession depth: 3mm; Gingival thickness: 1mm; keratinized tissue width: 0.5mm; Cementoenamel junction: Class A (detectable CEJ); Root surface concavity: Class – (absence of a cervical step: 0.5 mm).
Specialist Periodontal treatment: Mucogingival periodontal plastic surgery; Bilaminar enveloped connective tissue transplant (CTG) technique was performed to increase the thickness and width of the attached keratinized gingiva (KT), and to obtain root coverage (Langer & Langer 85, Raetzke 85).

Case #222 : Gum transplant
Courtesy : Dr. Nico Kamosi

History of present complaints (HPC): Mucogingival deformity
Clinical presentation tooth 31: Thin periodontal biotype, gingival recession, reduced vestibular depth, aberrant frenum/muscle pull, exposed root surface;
Other local factors: localized orthodontic-induced trauma;
Diagnosis: Gingival Recession Type 1; Recession depth: 3mm; Gingival thickness: 1mm; keratinized tissue width: 0.5mm; Cementoenamel junction: Class A (detectable CEJ); Root surface concavity: Class – (absence of a cervical step: 0.5 mm).
Specialist Periodontal treatment: Mucogingival periodontal plastic surgery; Bilaminar enveloped connective tissue transplant (CTG) technique was performed to increase the thickness and width of the attached keratinized gingiva (KT), and to obtain root coverage (Langer & Langer 85, Raetzke 85).

Case #223 : Gingival transplant
Courtesy : Dr. Nico Kamosi

History of present complaints (HPC): Mucogingival deformity

Clinical presentation tooth 41: Thin periodontal biotype, gingival recession, reduced vestibular depth, aberrant frenum/muscle pull, exposed root surface;
Other local factors: localized orthodontic-induced trauma;
Diagnosis: Gingival Recession Type 1; Recession depth: 3mm; Gingival thickness: 1mm; keratinized tissue width: 0.5mm; Cementoenamel junction: Class A (detectable CEJ); Root surface concavity: Class – (absence of a cervical step: 0.5 mm).
Specialist Periodontal treatment: Mucogingival periodontal plastic surgery; Bilaminar enveloped connective tissue transplant (CTG) technique was performed to increase the thickness and width of the attached keratinized gingiva (KT), and to obtain root coverage (Langer & Langer 85, Raetzke 85).

Case #224 : Gingival transplant
Courtesy : Dr. Nico Kamosi

History of present complaints (HPC): Mucogingival deformity
Clinical presentation tooth 31: Thin periodontal biotype, gingival recession, exposed root surface; Other local factors: Buccal proclination.
Diagnosis: Gingival Recession Type 1; Recession depth: 4mm; Gingival thickness: <1mm; keratinized tissue width: 0.5mm; Cementoenamel junction: Class B (undetectable CEJ); Root surface concavity: Class – (absence of a cervical step: 0.5 mm).
Specialist Periodontal treatment: Mucogingival periodontal plastic surgery; Pedicle double-papillary partial-thickness flap and CTG CTG was performed to increase the thickness and width of the attached keratinized gingiva (KT), and to obtain root coverage (Langer & Langer 85, Raetzke 85).

Case #225 : Gingival transplant
Courtesy : Dr. Nico Kamosi

History of present complaints (HPC): Mucogingival deformity
Clinical presentation teeth 34, 35: Thin periodontal biotype, gingival recession, exposed root surface
Diagnosis: Gingival Recession Type 1; Recession depth: 3mm; Gingival thickness: 1mm; keratinized tissue width: 2mm; Cementoenamel junction: Class A (detectable CEJ); Root surface concavity: Class + (presence of a cervical step: 0.5 mm).
Specialist Periodontal treatment: Mucogingival periodontal plastic surgery; Bilaminar enveloped connective tissue transplant (CTG) technique was performed to increase the thickness and width of the attached keratinized gingiva (KT), and to obtain root coverage (Raetzke 85).

Case #226 : Gum transplant
Courtesy : Dr. Nico Kamosi

History of present complaints (HPC): Mucogingival deformity
Clinical presentation teeth 44, 45: Thin periodontal biotype, gingival recession, exposed root surface
Diagnosis: Gingival Recession Type 1; Recession depth: 3mm; Gingival thickness: 1mm; keratinized tissue width: 2mm; Cementoenamel junction: Class A (detectable CEJ); Root surface concavity: Class + (presence of a cervical step: 0.5 mm).
Specialist Periodontal treatment: Mucogingival periodontal plastic surgery; Bilaminar enveloped connective tissue transplant (CTG) technique was performed to increase the thickness and width of the attached keratinized gingiva (KT), and to obtain root coverage (Raetzke 85).