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مشتق ماتریس مینایی
This case report describes the predictable coverage of multiple adjacent maxillary gingival recessions using the modified coronally advanced flap (MCAF) technique and modified coronally advanced tunnel technique (MCAT) in conjunction with an acellular porcine-derived collagen matrix (mucoderm(r)) combined with enamel matrix derivative (Straumann(r) Emdogain(r)).
Recent systematic reviews and consensus reports on root coverage procedures1,2 concluded that the addition of autologous connective tissue graft (CTG) or Emdogain(r) (EMD) under a Coronally Advanced Flap (CAF) are the procedures of choice to achieve complete root coverage as they both have extensive evidence showing that they significantly improve root coverage compared with CAF alone.
A split mouth, randomized clinical trial3, has shown that treatment of gingival recession defects with either CAF+CTG or CAF+ EMD appears stable, clinically effective, and similar to each other on all measured parameters, even after 10 years.
Because the CAF+EMD procedure avoids the need for a CTG harvesting procedure, it is the preferred treatment of most patients.
A randomized clinical study4 has shown that the addition of EMD to CAF procedures not only enhances root coverage but also increases the formation of keratinized gingiva, which together may contribute to improved esthetics of the clinical results.
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