COMBINED GRAFT TECHNIQUE First pilot study was conducted with 20 patients . 1
1 . Insufficient vestibular depth and keratinized tissue after a large bone augmentation procedure . |
2 . Trimming Geistlich Mucograft ® to the size of the defect . Harvesting a strip of 2 mm width and 1-1.5 mm thick from the palate . |
3 . Geistlich Mucograft ® covers the augmented area ( open healing ), with the palatal keratinized strip placed apically toward the vestibulum . |
4 . Increased vestibular depth and keratinized tissue three months later . |
Histological staining and immunofluorescence examination
I think this is the biggest achievement in my whole bone grafting career . The regenerated tissue is keratinized without any differences as compared with normal keratinized tissue .
Staining of a treatment biopsy for keratin 14 ( red ) and DAPI ( cell nuclei , blue ) to confirm physiological distribution of basal keratinocytes ( bottom ). 2
With a combined apically positioned autologous strip gingival graft and Geistlich Mucograft ® , you gain 6.3 mm keratinized tissue on average .
Some facts about Geistlich Mucograft ®
• Easy handling 3
• Adhere to the defect surface 4
• Fast infiltration of the soft-tissue cells 5
• Good soft-tissue cell ingrowth 5 , 6
• Color and texture match with the surrounding tissue 7
References : see page 39
You prevent patients suffering from a lot of pain . And the outcome is much better looking than with a free gingival graft .
What a successful example of innovation and tissue engineering !
OUTSIDE THE BOX 35