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Mucograft ® Dr Rory Nolan IDA Galway 2010
Cases <ul><li>Root coverage UR3 </li></ul><ul><li>Root coverage LL1 </li></ul><ul><li>↑  KT width UR1 </li></ul>
Root Coverage UR3
Root Coverage UR3
Root Coverage UR3
Root Coverage UR3
Root Coverage LL1
Root Coverage LL1
Root Coverage LL1
Root Coverage LL1
↑  KT width UR1
↑  KT width UR1
↑  KT width UR1
Mucograft ® <ul><li>Collagen  Matrix </li></ul><ul><li>Collagen Type I + III </li></ul><ul><li>Porcine  </li></ul><ul><li>...
Mucograft ® <ul><li>Smooth side (outer) </li></ul><ul><ul><li>Cell occlusive </li></ul></ul><ul><ul><li>Barrier </li></ul>...
Handling  …personal experience <ul><li>Technique sensitive </li></ul><ul><li>Consistency </li></ul><ul><li>Dry / Wet </li>...
Sanz M, Lorenzo R, Aranda JJ, Martin C, Orsini M. 2009. J Clin Periodontol. 36(10):868-76.  Clinical evaluation of a new c...
Sanz, Jepsen, Wennstrom, Zucchelli, Heinz, Uebersax. Due for completion December 2011. A Randomized Controlled Clinical Tr...
Root surface preparation <ul><li>Flattening </li></ul><ul><li>Chemical preparation </li></ul><ul><ul><li>Citric Acid Condi...
Post-Op Dressing <ul><li>Coe-Pak </li></ul><ul><li>Triad gel </li></ul><ul><li>Barricade </li></ul><ul><li>PeriAcryl </li>...
Enamel Matrix Derivative <ul><li>CAF + CM + Emdogain </li></ul><ul><li>Cost </li></ul><ul><li>Benefit </li></ul>
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...
Advantages/Limitations <ul><li>Donor site </li></ul><ul><li>Morbidity </li></ul><ul><li>Time </li></ul><ul><li>Ethics </li...
 
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Mucograft® IDA galway 2010

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IDA pearls of wisdom Galway 14 May 2010

Mucograft

Dr Rory Nolan

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Transcript of "Mucograft® IDA galway 2010"

  1. 1. Mucograft ® Dr Rory Nolan IDA Galway 2010
  2. 2. Cases <ul><li>Root coverage UR3 </li></ul><ul><li>Root coverage LL1 </li></ul><ul><li>↑ KT width UR1 </li></ul>
  3. 3. Root Coverage UR3
  4. 4. Root Coverage UR3
  5. 5. Root Coverage UR3
  6. 6. Root Coverage UR3
  7. 7. Root Coverage LL1
  8. 8. Root Coverage LL1
  9. 9. Root Coverage LL1
  10. 10. Root Coverage LL1
  11. 11. ↑ KT width UR1
  12. 12. ↑ KT width UR1
  13. 13. ↑ KT width UR1
  14. 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. 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. 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. 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. 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. 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. 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. 21. Enamel Matrix Derivative <ul><li>CAF + CM + Emdogain </li></ul><ul><li>Cost </li></ul><ul><li>Benefit </li></ul>
  22. 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. 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>

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