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Mucograft® IDA galway 2010
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  • 1. Mucograft ® Dr Rory Nolan IDA Galway 2010
  • 2. Cases
    • Root coverage UR3
    • Root coverage LL1
    • ↑ KT width UR1
  • 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 ®
    • Collagen Matrix
    • Collagen Type I + III
    • Porcine
    • FDA
    • BioGuide
    • Bilayer
    • Thicker
      • 2.5-5mm (dry)
      • 1mm (wet)
    • Indications…
  • 15. Mucograft ®
    • Smooth side (outer)
      • Cell occlusive
      • Barrier
      • Pig peritoneum
      • Towards soft tissue
      • Elastic properties allow suturing
    • Porous side (inner)
      • Collagen fibers in loose porous arrangement
      • Cell invasion
      • Pig skin
      • Towards the bone defect
  • 16. Handling …personal experience
    • Technique sensitive
    • Consistency
    • Dry / Wet
    • Suture
    • Exposed
  • 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.
    • Increasing width of KT
    • CTG vs CM
    • CTG increased KTW by 1.7mm
    • CM increased KTW by 1.6mm
    • Shrinkage (60%,67%)
    • Morbidity
  • 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)
    • Root coverage
    • Miller 1+2
    • CAF vs CAF + CM
    • Root coverage and ST thickness
  • 19. Root surface preparation
    • Flattening
    • Chemical preparation
      • Citric Acid Conditioning
      • Tetracycline
      • EDTA
  • 20. Post-Op Dressing
    • Coe-Pak
    • Triad gel
    • Barricade
    • PeriAcryl
    • Epiglu
    • Orabase
  • 21. Enamel Matrix Derivative
    • CAF + CM + Emdogain
    • Cost
    • Benefit
  • 22. Enamel Matrix Derivative
    • CAF + EMD Vs CAF
      • Cairo et al. JCP 2008
    • CTG + EMD Vs CTG
      • Aroca et al. JCP 2010
      • Gunay et al. IJPRD 2008
    • ADM + EMD Vs ADM
      • Pourabbas et al. Indian J. Dental Research 2009
  • 23. Advantages/Limitations
    • Donor site
    • Morbidity
    • Time
    • Ethics
    • KT height
    • Handling
    • Cost
  • 24.