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.
Clinical steps and images provided by Dr. Monish Bhola, DDS, MSD, Detroit, MI