New Volume‐Stable Collagen Matrix and Modified Coronally Advanced Flap to Treat Multiple Gingival Recessions Associated With Partially Restored Non‐Carious Cervical Lesions: A Case Report

Abstract

Introduction Gingival recession (GR) is a prevalent problem that is related to esthetic demands and dentin hypersensitivity. Frequently, GR is associated with non‐carious cervical lesion (NCCLs) forming a combined defect (CD), which requires restorative and surgical treatment. Connective tissue graft procedures allow predictable root coverage but can result in patient discomfort. Case Presentation This first case report describes multiple GRs associated with B+ NCCL at teeth #4 and #6 of a 27‐year‐old patient with a thin periodontal phenotype. The aim of this report was to evaluate the 6‐month outcome of a new volume‐stable collagen matrix (VCMX) combined with modified coronally advanced flap (MCAF) and partial restoration to treat CDs. After 6 months, significant improvement was observed regarding CD coverage (69.05%), recession reduction (2.25 mm), gingival thickness gain (0.74 mm), and keratinized tissue width gain (0.75 mm). In addition, excellent esthetic evaluation and patient comfort were achieved by using the biomaterial. Conclusion VCMX associated with MCAF and partial restoration may be an option to treat multiple recession defects plus B+ NCCLs.

Collagen-Based Biomaterials for Tissue Engineering

“…56 And VCMX may be an option to treat multiple gingival recession for solving the problem of autologous graft insufficiency. 57 Preclinical results showed newly formed collagen fiber bundles and blood vessels in 90 days with a short inflammatory phase and residual materials fully integrated. 58,59 Periodontitis is a chronic progressive inflammation leading to the destruction of periodontal soft and hard tissues.…”

“…A randomized controlled clinical study showed that VCMX promoted soft tissue volume augmentation compared to subepithelial connective tissue graft (SCTG) . And VCMX may be an option to treat multiple gingival recession for solving the problem of autologous graft insufficiency . Preclinical results showed newly formed collagen fiber bundles and blood vessels in 90 days with a short inflammatory phase and residual materials fully integrated. , …”

Multiple gingival recessions associated with non‐carious cervical lesions treated by partial restoration and modified coronally advanced flap with either connective tissue graft or xenogeneic acellular dermal matrix: A randomized clinical trial

“…[23][24][25][26][27][28][29] Although CMs have provided successful outcomes in the treatment of GR, [23][24][25][26][27][28][29] there is only a limited number of studies evaluating their performance on restored CDs. 12,[30][31] In addition, there is a lack of evidence regarding the clinical efficacy of xenogeneic grafts to treat multiple CDs. Thus, the aim of this randomized clinical trial was to compare the clinical and patient-centered outcomes of modified coronally advanced flap (MCAF) along with either CTG or xenogeneic acellular dermal matrix (XDM) to treat multiple Recession Type (RT) 1 GRs 32 Class B+ CDs partially restored with resin composite.…”

“…Several collagen matrices (CM) have been used as autogenous graft substitutes to treat GR without associated dental wear 23–29 . Although CMs have provided successful outcomes in the treatment of GR, 23–29 there is only a limited number of studies evaluating their performance on restored CDs 12,30–31 . In addition, there is a lack of evidence regarding the clinical efficacy of xenogeneic grafts to treat multiple CDs.…”

Comparison between connective tissue graft and xenogeneic acellular dermal matrix to treat single gingival recession: A data reanalysis of randomized clinical trials

“…However, high morbidity and patient discomfort are reported after harvesting a graft from the palatal area 6,7 . Different collagen based‐materials, 8–10 including a xenogeneic acellular dermal matrix (XDM; Mucoderm, Straumann, Basel, Switzerland), have been proposed as CTG substitutes for root coverage (RC) 11 . An XDM is obtained from the purification of porcine dermis and has a 3‐D bilayer structure approximately 2 mm thick 12 .…”