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Mucograft® IDA Galway
Mucograft® IDA Galway
Mucograft® IDA Galway
Mucograft® IDA Galway
Mucograft® IDA Galway
Mucograft® IDA Galway
Mucograft® IDA Galway
Mucograft® IDA Galway
Mucograft® IDA Galway
Mucograft® IDA Galway
Mucograft® IDA Galway
Mucograft® IDA Galway
Mucograft® IDA Galway
Mucograft® IDA Galway
Mucograft® IDA Galway
Mucograft® IDA Galway
Mucograft® IDA Galway
Mucograft® IDA Galway
Mucograft® IDA Galway
Mucograft® IDA Galway
Mucograft® IDA Galway
Mucograft® IDA Galway
Mucograft® IDA Galway
Mucograft® IDA Galway
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Mucograft® IDA Galway

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IDA pearls of wisdom Galway 14 May 2010 …

IDA pearls of wisdom Galway 14 May 2010

Mucograft

Dr Rory Nolan

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  • 1. Mucograft ® Dr Rory Nolan IDA Galway 2010
  • 2. Cases <ul><li>Root coverage UR3 </li></ul><ul><li>Root coverage LL1 </li></ul><ul><li>↑ KT width UR1 </li></ul>
  • 3. Root Coverage UR3
  • 4. Root Coverage UR3
  • 5. Root Coverage UR3
  • 6. Root Coverage UR3
  • 7. Root Coverage LL1
  • 8. Root Coverage LL1
  • 9. Root Coverage LL1
  • 10. Root Coverage LL1
  • 11. ↑ KT width UR1
  • 12. ↑ KT width UR1
  • 13. ↑ KT width UR1
  • 14. Mucograft ® <ul><li>Collagen Matrix </li></ul><ul><li>Collagen Type I + III </li></ul><ul><li>Porcine </li></ul><ul><li>FDA </li></ul><ul><li>BioGuide </li></ul><ul><li>Bilayer </li></ul><ul><li>Thicker </li></ul><ul><ul><li>2.5-5mm (dry) </li></ul></ul><ul><ul><li>1mm (wet) </li></ul></ul><ul><li>Indications… </li></ul>
  • 15. Mucograft ® <ul><li>Smooth side (outer) </li></ul><ul><ul><li>Cell occlusive </li></ul></ul><ul><ul><li>Barrier </li></ul></ul><ul><ul><li>Pig peritoneum </li></ul></ul><ul><ul><li>Towards soft tissue </li></ul></ul><ul><ul><li>Elastic properties allow suturing </li></ul></ul><ul><li>Porous side (inner) </li></ul><ul><ul><li>Collagen fibers in loose porous arrangement </li></ul></ul><ul><ul><li>Cell invasion </li></ul></ul><ul><ul><li>Pig skin </li></ul></ul><ul><ul><li>Towards the bone defect </li></ul></ul>
  • 16. Handling …personal experience <ul><li>Technique sensitive </li></ul><ul><li>Consistency </li></ul><ul><li>Dry / Wet </li></ul><ul><li>Suture </li></ul><ul><li>Exposed </li></ul>
  • 17. Sanz M, Lorenzo R, Aranda JJ, Martin C, Orsini M. 2009. J Clin Periodontol. 36(10):868-76. Clinical evaluation of a new collagen matrix (Mucograft prototype) to enhance the width of keratinized tissue in patients with fixed prosthetic restorations: a randomized prospective clinical trial. <ul><li>Increasing width of KT </li></ul><ul><li>CTG vs CM </li></ul><ul><li>CTG increased KTW by 1.7mm </li></ul><ul><li>CM increased KTW by 1.6mm </li></ul><ul><li>Shrinkage (60%,67%) </li></ul><ul><li>Morbidity </li></ul>
  • 18. Sanz, Jepsen, Wennstrom, Zucchelli, Heinz, Uebersax. Due for completion December 2011. A Randomized Controlled Clinical Trial to Evaluate Safety and Effectiveness of CAF + Mucograft® Compared to CAF Alone in Patients With Gingival Recessions (MCT-Recession) <ul><li>Root coverage </li></ul><ul><li>Miller 1+2 </li></ul><ul><li>CAF vs CAF + CM </li></ul><ul><li>Root coverage and ST thickness </li></ul>
  • 19. Root surface preparation <ul><li>Flattening </li></ul><ul><li>Chemical preparation </li></ul><ul><ul><li>Citric Acid Conditioning </li></ul></ul><ul><ul><li>Tetracycline </li></ul></ul><ul><ul><li>EDTA </li></ul></ul>
  • 20. Post-Op Dressing <ul><li>Coe-Pak </li></ul><ul><li>Triad gel </li></ul><ul><li>Barricade </li></ul><ul><li>PeriAcryl </li></ul><ul><li>Epiglu </li></ul><ul><li>Orabase </li></ul>
  • 21. Enamel Matrix Derivative <ul><li>CAF + CM + Emdogain </li></ul><ul><li>Cost </li></ul><ul><li>Benefit </li></ul>
  • 22. Enamel Matrix Derivative <ul><li>CAF + EMD Vs CAF </li></ul><ul><ul><li>Cairo et al. JCP 2008 </li></ul></ul><ul><li>CTG + EMD Vs CTG </li></ul><ul><ul><li>Aroca et al. JCP 2010 </li></ul></ul><ul><ul><li>Gunay et al. IJPRD 2008 </li></ul></ul><ul><li>ADM + EMD Vs ADM </li></ul><ul><ul><li>Pourabbas et al. Indian J. Dental Research 2009 </li></ul></ul>
  • 23. Advantages/Limitations <ul><li>Donor site </li></ul><ul><li>Morbidity </li></ul><ul><li>Time </li></ul><ul><li>Ethics </li></ul><ul><li>KT height </li></ul><ul><li>Handling </li></ul><ul><li>Cost </li></ul>
  • 24.  

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