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Creeping Clinical Attachment After Acellular Dermal Matrix Augmentation to Attain Root Coverage
Author(s) -
Changi Khashayar Kordbacheh,
Greenstein Gary,
Tarnow Dennis,
Royzman Daniel,
Kang Philip
Publication year - 2020
Publication title -
clinical advances in periodontics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.182
H-Index - 2
eISSN - 2163-0097
pISSN - 2573-8046
DOI - 10.1002/cap.10078
Subject(s) - medicine , gingival recession , dentistry , presentation (obstetrics) , orthodontics , surgery
Introduction This case report documents root coverage after using an acellular dermal matrix (ADM) combined with a tunneling procedure. The photographs and objective clinical measurements are presented to document a gain of new clinical attachment and subsequent creeping attachment. Case Presentation A 50‐year‐old male who demonstrated around 6 mm of recessions on the direct facial of teeth #6 through #11 had a root coverage procedure using an ADM. After 24 months, >90% of the recession defects at all sites were eliminated. It was noted that creeping clinical attachment began to appear 6 months after initial therapy on teeth #7 through# 11. Conclusion The delayed creeping attachment seems to be due to the time necessary to vascularize the ADM and the rate of vascularization may vary with different thicknesses of inserted ADM.