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Geistlich Mucograft®

The ideal matrix for Gain of Keratinized Tissue and Recession Coverage

Learn More About Geistlich Mucograft® 6-8 Year Long-Term Follow-Up: Dr. Michael McGuire, et al. View Video Library

Clinical Cases

Soft Tissue Esthetics
Richard E. Bauer, III, DMD, MDRamal Bone Graft for Congenitally Missing Maxillary Lateral Incisor Richard E. Bauer, III, DMD, MD Pittsburgh, PA, USA
Ramal Bone Graft for Congenitally Missing Maxillary Lateral Incisor
Richard E. Bauer, III, DMD, MDRamal Bone Graft for Congenitally Missing Maxillary Lateral Incisor Richard E. Bauer, III, DMD, MD Pittsburgh, PA, USA
Richard E. Bauer, III, DMD, MD case overview 1
Richard E. Bauer, III, DMD, MD case overview 9
Richard E. Bauer, III, DMD, MD case 1
1 - A flap has been raised and reveals a significant facial and palatal defect at congenitally missing site #10.
Richard E. Bauer, III, DMD, MD case 2
2 - Harvested ramal graft. Slightly over-sized to allow for mitering and harvest of particulate autograft with a bone trap on the suction.
Richard E. Bauer, III, DMD, MD case 3
3 - Onlay graft now secured with two fixation screws (Stryker) with a lag screw technique. Geistlich Bio-Oss Collagen® has been placed on the palatal aspect of site #10.
Richard E. Bauer, III, DMD, MD case 4
4 - Combination of a fixated onlay graft with Geistlich Bio-Oss®/autograft particulate graft at the periphery and over the facial plate of the adjacent dentition.
Richard E. Bauer, III, DMD, MD case 5
5 - Geistlich Mucograft® matrix placed over facial augmentation of the adjacent dentition and ridge crest of the augmented site.
Richard E. Bauer, III, DMD, MD case 6
6 - Closure following ramal grafting and Geistlich Mucograft® matrix application.
Richard E. Bauer, III, DMD, MD case 7
7 - Implant placement with static guide and dental implant hand driver.
Richard E. Bauer, III, DMD, MD case 8
8 - Implant placement with slight subcrestal placement of the platform just prior to osteoplasty by the periodontist.
Gain of Keratinized Tissue
Dr. Alan CharlesTreatment to Increase Keratinized Tissue with Geistlich Mucograft® Dr. Alan Charles Pasadena, CA, USA
Treatment to Increase Keratinized Tissue with Geistlich Mucograft®
Dr. Alan CharlesTreatment to Increase Keratinized Tissue with Geistlich Mucograft® Dr. Alan Charles Pasadena, CA, USA
Dr. Alan Charles case overview 1
Dr. Alan Charles case overview 2
Dr. Alan Charles case 1
1 - Pre-operative view. A small band of keratinized gingiva is present.
Dr. Alan Charles case 2
2 - The band of keratinized gingiva is split and a split-thickness flap is elevated exposing connective tissue and periosteum.
Dr. Alan Charles case 3
3 - Geistlich Mucograft® is sutured to the recipient bed and left exposed.
Dr. Alan Charles case 4
4 - Follow-up after 1 week: the area appears to granulate underneath the fibrin clot.
Dr. Alan Charles case 5
5 - Follow-up after 4 weeks: excellent wound healing.
Dr. Alan Charles case 6
6 - Follow-up situation after 2 months.
Dr. Alan Charles case 7
7 - Follow-up after 3 months.
Dr. Alan Charles case 8
8 - Follow-up after 6 months: Lugol’s iodine staining indicates delineating keratinized tissue.
Dr. Alan Charles case 9
9 - Follow-up after 6 months: mucogingival appearance with 4 mm of keratinized tissue.
PD Dr. Christian Schmitt, MScGain of Keratinized Tissue in Edentulous Patient Using Geistlich Mucograft® PD Dr. Christian Schmitt, MSc Munich, Germany
Gain of Keratinized Tissue in Edentulous Patient Using Geistlich Mucograft®
PD Dr. Christian Schmitt, MScGain of Keratinized Tissue in Edentulous Patient Using Geistlich Mucograft® PD Dr. Christian Schmitt, MSc Munich, Germany
PD Dr. Christian Schmitt, MSc case overview 1
PD Dr. Christian Schmitt, MSc case overview 9
PD Dr. Christian Schmitt, MSc case 1
1 - This case shows a shallow vestibule and almost no keratinized tissue on the lower crestal part. The horizontal incision has to be made within the keratinized tissue (see depicted line).
PD Dr. Christian Schmitt, MSc case 2
2 - Ensure the incision is within the keratinized tissue: an apically fixed split flap is used here. Remove the muscles, scar fibers and ligaments before application of Geistlich Mucograft®.
PD Dr. Christian Schmitt, MSc case 3
3 - Measure the defect carefully with a periodontal probe and cut Geistlich Mucograft® in a dry state. In the case of a large vestibuloplasty, several pieces of Geistlich Mucograft® can be sutured side by side.
PD Dr. Christian Schmitt, MSc case 4
4 - Geistlich Mucograft® is sutured directly onto the periosteum with 5.0 resorbable sutures and left exposed for open healing (healed by secondary intention).
PD Dr. Christian Schmitt, MSc case 5
5 - 10 days post-operative: favorable healing where granulation tissue and new soft tissues have formed.
PD Dr. Christian Schmitt, MSc case 6
6 - 1 month post-operative: excellent wound healing with complete integration and epithelialization of Geistlich Mucograft® as well as keratinization of the crestal aspect could be observed.
PD Dr. Christian Schmitt, MSc case 7
7 - 3 months post-operative: excellent esthetic outcome with full integration and epithelialization of Geistlich Mucograft® to the surrounding tissue and keratinization of the crestal aspect.
PD Dr. Christian Schmitt, MSc case 8
8 - 1 year post-operative: the formed keratinized tissue fulfills its functionality and shows an esthetically pleasing result matching the structure and color of the surrounding tissues. The mean width of the peri-implant keratinized mucosa was 4.0 mm, and a low shrinkage was assessed at 38%.
PD Dr. Christian Schmitt, MSc case 9
9 - 5 years post-operative: the mucogingival appearance remains stable. The resulting keratinized tissue fulfills its functionality and shows an esthetically pleasing result.
Multiple Tooth Recession Coverage
Dr. Daniel GoberGeistlich Mucograft® for the Treatment of Multiple Adjacent Recession Defects Dr. Daniel Gober Cedarhurst, NY, USA
Geistlich Mucograft® for the Treatment of Multiple Adjacent Recession Defects
Dr. Daniel GoberGeistlich Mucograft® for the Treatment of Multiple Adjacent Recession Defects Dr. Daniel Gober Cedarhurst, NY, USA
Dr. Daniel Gober case overview 1
Dr. Daniel Gober case overview 9
Dr. Daniel Gober case 1
1 - Pre-operative view of recession defects that ranges from 2-5 mm. There is minimal keratinized tissue on #14. Pocket depths are within limits with no loss of interproximal tissue.
Dr. Daniel Gober case 2
2 - A 15c blade is used to make sulcular incisions with scooping incisions at the level of the CEJ. A combination flap consisting of full-thickness coronally followed by a partial-thickness dissection apically is reflected.
Dr. Daniel Gober case 3
3 - The papillary tissue is de-epithelialized with a football diamond bur on a rotary hand piece. This exposes a vascular bed for the graft and intended coronal positioning of the flap.
Dr. Daniel Gober case 4
4 - Side-view of the recession defects. It is clearly visible how deep the recession defects are.
Dr. Daniel Gober case 5
5 - Geistlich Mucograft® is trimmed and positioned to extend beyond the root surfaces. A combination of simple interrupted sutures at its coronal edge and mattress sutures extending over the entire graft are used to adapt the graft to the recipient site.
Dr. Daniel Gober case 6
6 - The flap is then advanced and coronally positioned with horizontal mattress sutures to release tension and simple interrupted sutures to approximate the flap edges to the de-epithelialized papillas.
Dr. Daniel Gober case 7
7 - Follow-up after 1 week: note that the flap margins appear stable. Erythema and edema evident with maturation of the tissue beginning.
Dr. Daniel Gober case 8
8 - Follow-up after 3 months: maturation of the tissue evident with complete root coverage. An increase in the zone of keratinized tissue by #14 is also visible.
Dr. Daniel Gober case 9
9 - Follow-up after 1 year: stability of the graft is evident, complete coverage and a healthy and maintainable gingival situation have been achieved.
Multiple recession coverage with flap without releasing incisions Dr. Christine Romagna Auxerre, France
Multiple recession coverage with flap without releasing incisions
Multiple recession coverage with flap without releasing incisions Dr. Christine Romagna Auxerre, France
Dr. Christine Romagna case overview 1
Dr. Christine Romagna case overview 9
Dr. Christine Romagna case 1
1 - Pre-operative picture of the area intended to treat. Note the thin biotype.
Dr. Christine Romagna case 2
2 - Initial situation showing Miller Class I defects on region 4 (3 mm) and 5 (2 mm).
Dr. Christine Romagna case 3
3 - A split-full-split thickness flap without releasing incisions is elevated.
Dr. Christine Romagna case 4
4 - The anatomical papillae are de epithelialized.
Dr. Christine Romagna case 5
5 - The collagen matrix Geistlich Mucograft® is placed under the flap.
Dr. Christine Romagna case 6
6 - Immediate post-operative situation after suturing of the flap covering Geistlich Mucograft® completely.
Dr. Christine Romagna case 7
7 - Follow-up picture 2 weeks after surgery.
Dr. Christine Romagna case 8
8 - Nice healing of the site 1.5 months post-operative.
Dr. Christine Romagna case 9
9 - Pleasant esthetic outcome 7 months after surgery.
Single Tooth Recession Coverage
Dr. Michael K. McGuireRecession Coverage Treatment with Geistlich Mucograft® Dr. Michael K. McGuire Houston, TX, USA
Recession Coverage Treatment with Geistlich Mucograft®
Dr. Michael K. McGuireRecession Coverage Treatment with Geistlich Mucograft® Dr. Michael K. McGuire Houston, TX, USA
McGuire case overview 1
McGuire case overview 9
McGuire case 1
1 - Pre-operative image showing the recession defect on tooth #6.
McGuire case 2
2 - After elevation of a partial thickness flap, the interdental papillae are de-epithelialized.
McGuire case 3
3 - Geistlich Mucograft® is placed over the defect and sutured to the papillae.
McGuire case 4
4 - The flap is coronally advanced and sutured completely covering the matrix.
McGuire case 5
5 - Follow-up after 1 week: healing of the surgical site.
McGuire case 6
6 - Follow-up situation after 4 weeks.
McGuire case 7
7 - Follow-up after 3 months.
McGuire case 8
8 - Follow-up after 6 months: note the natural appearance of the soft tissue achieved with Geistlich Mucograft®.
McGuire case 9
9 - Follow-up after 1 year.
Dr. Daniele CardaropoliSingle recession coverage with coronally advanced flap in thick biotype Dr. Daniele Cardaropoli Turin, Italy
Single recession coverage with coronally advanced flap in thick biotype
Dr. Daniele CardaropoliSingle recession coverage with coronally advanced flap in thick biotype Dr. Daniele Cardaropoli Turin, Italy
Cardaropoli case overview 1
Cardaropoli case overview 9
Cardaropoli case 1
1 - Before preparation of the flap the exposed root portion is cleaned with a scraper and is wiped with EDTA (or similar).
Cardaropoli case 2
2 - After measuring the dimension of the recession defect using a periodontal probe, the incisions for raising the flap are cut.
Cardaropoli case 3
3 - A split-full-split thickness flap is elevated and coronally mobilized.
Cardaropoli case 4
4 - The area of the papillae is de-epithelialized to allow anchorage of the flap coronal to the cemento-enamel junction.
Cardaropoli case 5
5 - Geistlich Mucograft® is applied dry to the defect and is fixed with 4 single sutures.
Cardaropoli case 6
6 - The coronally advanced flap is sutured over Geistlich Mucograft®.
Cardaropoli case 7
7 - Nice, uneventful healing 15 days post-operatively at suture removal.
Cardaropoli case 8
8 - Soft tissue situation immediately after suture removal.
Cardaropoli case 9
9 - Complete root coverage 7 months after surgery. Note the excellent color match.
Prof. Dr. Giovanni ZucchelliSingle recession coverage with coronally advanced flap in thin biotype Prof. Dr. Giovanni Zucchelli Bologna, Italy
Single recession coverage with coronally advanced flap in thin biotype
Prof. Dr. Giovanni ZucchelliSingle recession coverage with coronally advanced flap in thin biotype Prof. Dr. Giovanni Zucchelli Bologna, Italy
Zucchelli case overview 1
Zucchelli case overview 9
Zucchelli case 1
1 - Pre-operative lateral smile showing the recession defect of tooth 5.
Zucchelli case 2
2 - Pre-operative image of recession defect (tooth 5).
Zucchelli case 3
3 - After elevation of split-full-split flap the interdental papillae are de-epithelialized.
Zucchelli case 4
4 - Geistlich Mucograft® is placed over the root and sutured to the papillae.
Zucchelli case 5
5 - The flap is mobilized, coronally advanced and sutured completely covering the Geistlich Mucograft®.
Zucchelli case 6
6 - Healing of the surgical site 2 weeks after surgery.
Zucchelli case 7
7 - Surgical site 6 months after surgery.
Zucchelli case 8
8 - Outcome 1 year after treatment.
Zucchelli case 9
9 - Lateral smile 1 year after surgery showing the optimal esthetic outcome.
Extraction Socket Management
Peter Hunt, BDS, Msc, LDSRCS EngImmediate Mandibular Molar Transition Peter Hunt, BDS, Msc, LDSRCS Eng Philadelphia, PA, USA
Immediate Mandibular Molar Transition
Peter Hunt, BDS, Msc, LDSRCS EngImmediate Mandibular Molar Transition Peter Hunt, BDS, Msc, LDSRCS Eng Philadelphia, PA, USA
Peter Hunt, BDS, Msc, LDSRCS Eng case overview 1
Peter Hunt, BDS, Msc, LDSRCS Eng case overview 9
Peter Hunt, BDS, Msc, LDSRCS Eng case 1
1 - Initial Situation: a failing mandibular molar with a vertical sub-osseous fracture.
Peter Hunt, BDS, Msc, LDSRCS Eng case 2
2 - A pre-operative radiograph and CBCT showing the cross-section of the involved tooth.
Peter Hunt, BDS, Msc, LDSRCS Eng case 3
3 - An implant site was developed by placing a pilot drill down the mesial root space, then uprighting it. This was continued up through the drill sequence. The mesial radicular septum is moved in the process.
Peter Hunt, BDS, Msc, LDSRCS Eng case 4
4 - A Camlog® 5.0 x 11 mm implant was placed with the platform set just down below the bone height of the socket walls.
Peter Hunt, BDS, Msc, LDSRCS Eng case 5
5 - After placing a 4.0 mm height cylindrical gingiva former in the implant, 250 mg of Geistlich Bio-Oss Collagen® was packed down in the socket around the implant.
Peter Hunt, BDS, Msc, LDSRCS Eng case 6
6 - Geistlich Mucograft® was adapted to the region then tucked down under the gingival margin.
Peter Hunt, BDS, Msc, LDSRCS Eng case 7
7 - The gingival margins were adapted and closed together with 4.0 teflon sutures (Cytoplast™, Osteogenics). The region was then covered with Glustich - PeriAcryl® 90 Oral Tissue Adhesive.
Peter Hunt, BDS, Msc, LDSRCS Eng case 8
8 - 4 months later following Emergence Profile Development.
Peter Hunt, BDS, Msc, LDSRCS Eng case 9
9 - An occlusal view of the final onepiece, screw-retained zirconia crown restoration based on a Camlog® Titanium Base Abutment.
Dr. Ken AkimotoInsufficient Soft Tissue Thickness in a Single Tooth Gap in the Anterior Maxilla Dr. Ken Akimoto Issaquah, WA, USA
Insufficient Soft Tissue Thickness in a Single Tooth Gap in the Anterior Maxilla
Dr. Ken AkimotoInsufficient Soft Tissue Thickness in a Single Tooth Gap in the Anterior Maxilla Dr. Ken Akimoto Issaquah, WA, USA
Dr. Ken Akimoto case overview 1
Dr. Ken Akimoto case overview 9
Dr. Ken Akimoto case 1
1 - Pre-operative situation, tooth #7 with periapical infection and horizontal fracture.
Dr. Ken Akimoto case 1
2 - CT Scan showing tooth #7 with significant bone loss.
Dr. Ken Akimoto case 1
3 - Occlusal view of the clinical situation prior to extraction of tooth #7.
Dr. Ken Akimoto case 1
4 - Extraction socket with Geistlich Bio-Oss Collagen® in place.
Dr. Ken Akimoto case 1
5 - Geistlich Mucograft® Seal is placed over the extraction socket and secured with single interrupted sutures.
Dr. Ken Akimoto case 1
6 - 3 months post-operative: soft tissue healing at the time of implant placement.
Dr. Ken Akimoto case 1
7 - Buccal view showing excellent soft tissue healing and keratinized tissue.
Dr. Ken Akimoto case 1
8 - 5 months post-operative.
Dr. Ken Akimoto case 1
9 - 2 years post-operative: final restoration in place.
Dr. Ronald E. JungSocket seal of anterior alveole in late implant placement Dr. Ronald E. Jung Zurich, Switzerland
Socket seal of anterior alveole in late implant placement
Dr. Ronald E. JungSocket seal of anterior alveole in late implant placement Dr. Ronald E. Jung Zurich, Switzerland
Dr. Ronald E. Jung case overview 1
Dr. Ronald E. Jung case overview 9
Dr. Ronald E. Jung case 1
1 - Extraction of tooth 21 due to a trauma with concomitant external resorptions. Care was taken in preserving the alveolar bone.
Dr. Ronald E. Jung case 2
2 - Crestal view of the socket after tooth extraction. No flaps are raised around the affected area. A slight buccal bone defect was observed.
Dr. Ronald E. Jung case 3
3 - The socket is gently curetted for removal of granulation tissue. Subsequently, the wound margins were de-epithelialized with a diamond in a counter piece with water cooling.
Dr. Ronald E. Jung case 4
4 - Filling of the extraction socket with Geistlich Bio-Oss® Collagen to the level of the palatal bone.
Dr. Ronald E. Jung case 5
5 - After measuring the alveole, Geistlich Mucograft® is punched (8 mm diameter).
Dr. Ronald E. Jung case 6
6 - The Geistlich Mucograft® punch is placed on top of Geistlich Bio-Oss® Collagen to seal the filled alveole.
Dr. Ronald E. Jung case 7
7 - Suturing of the Geistlich Mucograft® with 6-0 single interrupted sutures.
Dr. Ronald E. Jung case 8
8 - Nice healing of the soft tissues 1 week after extraction.
Dr. Ronald E. Jung case 9
9 - Situation 7.5 months after extraction revealing nice soft tissue situation with a slight dip at the buccal aspect.
View Video Library

Redefining the
Soft Tissue Matrix

Structure

The unique clot stabilizing macro-structure along with a cell signaling micro-structure results in organized and vascularized regenerative healing.

Soft Tissue Integration

Early vascularization3,4 facilitates soft tissue cell ingrowth3 and good integration of the matrix with the surrounding tissues.

Design

Reconstituted collagen – no cross-linking. Provides a requisite, reinforcing matrix and a signaling source for regenerative wound healing.

Processing

Uniquely processed to encourage immediate blood clot stabilization.

Compact
Macro-structure
Spongeous
Micro-structure

The Biology of Soft Tissue Healing

Band of keratinized tissue

  • Important to maintain functionality and esthetics1,2
  • Enables patients to maintain good oral hygiene without irritation or discomfort1,2

Migration of connective tissue cells

  • Signaling for keratinized tissue

Wound closure

  • Geistlich Mucograft® continues to support physiological process and promotes wound closure3–5, leading to a faster keratinization compared to free granulation6–8

Compact structure of Geistlich Mucograft®

  • Protects the wound during open healing and allows suturing

Porous structure of Geistlich Mucograft®

  • The underlying specialized collagen structure stabilizes the blood clot and enables soft tissue ingrowth and cell migration from the surrounding tissue3-6

Wound healing

  • Stabilization of the blood clot5,6
  • Vascularization3,4
  • Soft tissue cell ingrowth3,4
  • The specialized collagen structure prevents scar formation5

Geistlich Mucograft® Seal

Soft Tissue Management Following Tooth Extraction

Geistlich Mucograft® Seal and Geistlich Bio-Oss Collagen® preserve significantly more bone volume than spontaneous healing.11

Clinical Benefits

  • Faster wound healing11 and tissue integration9,10
  • Natural color and texture adaptation10,11
  • Simple application and shorter procedure times
  • Ideal when paired with Geistlich Bio-Oss Collagen® for early implant placement

BIOBRIEF and Surgical Videos

Immediate Mandibular Molar Transition
Dr. Peter Hunt
Play VideoDownload (PDF)
Ramal Bone Graft for Congenitally Missing Maxillary Lateral Incisor
Dr. Richard E. Bauer, III
Play VideoDownload (PDF)
Geistlich Mucograft® for the Treatment of Multiple Adjacent Recession Defects: A More "Palatable" Option
Dr. Daniel Gober
Play VideoDownload (PDF)
Using a Strip Gingival Autograft and Geistlich Mucograft®
Dr. Istvan Urban
Play Video
View our Library of Clinical Cases

3D Animated Videos

What are the Differences Between Geistlich Mucograft® and Geistlich Fibro-Gide®
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Exposed Tooth Roots – Now What?
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Biofunctionality Movie
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Downloads

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Matrices Portfolio Brochure

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Product Brochure

Product
Portfolio

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Product Sell Sheet

Soft Tissue Patient Information Brochure

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Technical Guidelines

Dr. Michael McGuire Long Term Results with Geistlich Mucograft®

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Additional Resources

Technical GuidelinesPut Palate Free Innovation Into Practice®

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Technical Guidelines

Learn More about Geistlich Fibro-Gide®

Visit fibro-gide.geistlich-na.com

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