Treating Gingival Recession with DynaMatrix^® Plus

A 55-year-old Caucasian female with a history of hypersensitivity on her maxillary right cuspid. The patient gave a history of several failed Class V restorations on this tooth. This tooth had a Miller’s Class II recession of 4mm, with minimum zone of keratinized gingiva.

After anesthetizing the area with 4% septocaine, root preparation with a rotary flame shaped carbide (NuMyer) was performed. A trapezoidal incision with a no.15c blade was made and a full thickness mucoperisteal flap was elevated.

The root surface was prepared further with a slow speed carbide bur, and the root surface was chemically treated with 24% EDTA gel for two minutes.

DynaMatrix Plus trimmed and placed over root surface. A 5-0 Vicryl^™ sling suture placed through the facial flap.

The Mucoperoisteal flap was then coronally advanced by releasing the periosteum using a no.15c blade. The vertical incisions were sutured with 5-0 Vicryl interrupted sutures. The patient was placed on amoxicillin 250 mg, q8h x 5 days, ibuprofen 800 mg q6h prn and chlorhexidine mouthrinse twice daily for 30 seconds.

Six months follow-up shows 100% complete root coverage.

One year follow-up showing 100% root coverage.

One year and 3 months follow-up. Results maintained.