Creeping attachment following treatment of multiple gingival recession defects with xenogeneic collagen matrix: Two case reports

Authors: Jonathan Meza-Mauricio, Lorenzo Tavelli, Marlon Marx Hilariano Maximiano, Ilton José Mafra, Javier Parma Garcia and Marcelo Faveri

Abstract

Aim: The aim of this report was to describe the phenomenon of creeping attachment that occurred following the use of a new xenogenic collagen matrix (CMX) for the treatment of multiple recession defects in the aesthetic region. Methods: Two patients with multiple gingival recession defects were treated with coronally advanced flap technique plus CMX (Mucoderm®). Results: Three months after grafting, the amount of root coverage obtained was partial. After a 2-year period, the previously denuded root surfaces were entirely covered by soft tissue. Conclusions: The new CMX combined with the coronally advanced flap technique can lead to satisfactory root coverage of multiple Cairo type I recession defects which in some cases may be due to creeping attachment. However, further clinical studies with long-term outcomes must be conducted to evaluate the stability of the outcomes obtained with CMX in the long-term.

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