- Anterior/Esthetic (827/23)
- Implants (2265/129)
- Full Arch & Dentures (185/5)
- Failures (218/2)
- CBCT & CAD/CAM (119/8)
- Periodontics (304/12)
- Endodontics (176/6)
- Orthodontics (255/3)
- Practice Management (35/1)
- Other (446/9)
Possible graft failure after 1 week?
Posted on 10.17.2019 03:26 PM By Vikaskumar Patel In Soft Tissue Enhancement
Hi Everyone. I wanted to share case I did one week before and just saw post op for 1 week today . This just my 2nd case I did after the course and wanted to get your opinion.
Patient had recession on right upper 1st and 2nd PM area.
I have used Biohorrizon Alloderm . And Nylon monofilament sutures . Everything went well on appointment day but when I saw patient one week post op I saw large granulation white area . Wanted to know is it normal or its getting rejected. If thats the case what can I do to improve ?
Add a comment to the discussion on Possible graft failure after 1 week?
Case has been added to your favorites.
Case has been removed from your favorites.
Thank you for your input. Your comment has been posted.
You are now following this member. You will get notified on any new topics posted by this member.
You are no longer following this member. You will not get notified on any new topics posted by this member.
Comment has been updated.
Maurice Salama says on 10.17.2019 04:39 PM
Dr. Patel; Yes, the graft has sloughed. Not sure from images but could be pressure from flap or wicking from the alloderm that allowed bacteria to enter. I no longer utilize Alloderm for that very reason....very slimy and if exposed does not do well. Always try to get COMPLETE 100% coverage of the ACDM with the outer flap. good luck and thanks for sharing. Dr. Salama
Vikaskumar Patel says on 10.18.2019 10:23 AM
Thank you Dr Salama for the response I tried to cover completely but looks like I might have missed something . How do I manage this ?Should I just go ahead and remove and clean the area ? or should I wait some more time and see ? Also if not Alloderm , which one you recommend moving forward? Thanks for the suggestions Vikas