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Gum Transplant

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After
Before
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).

After
Before
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.

After
Before
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).

After
Before
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).

After
Before
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).

After
Before
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).

After
Before
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).

After
Before
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).

After
Before
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).