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Updated: Apr 17, 2026

Tissue Characterization after a New Disaggregation Method for Skin Micro-Grafts Generation
Published on: March 4, 2016
Evaluation of the zone of keratinized tissue using exposed acellular dermal matrix over tooth extraction sites: a
Sergio Ribeiro1, Vinícius Ferreira, Bianca Stutz
1*Private Practice, Rio de Janeiro, Brazil. †Graduate Student, Department of Periodontolgy, Rio de Janeiro State University, Rio de Janeiro, Brazil. ‡Private Practice, Rio de Janeiro, Brazil. §Professor, Post Graduation Program, Fluminense Federal University, Rio de Janeiro, Brazil. ‖Graduate Student, Department of Periodontology, Fluminense Federal University, Rio de Janeiro, Brazil. ¶Chair Professor, Department of Periodontology, Fluminense Federal University, Rio de Janeiro, Brazil.
Background:
The presence of an adequate zone of keratinized tissue has been associated with implant health. This study evaluated the zone of keratinized tissue using exposed acellular dermal matrix (ADM) over extraction sites.
Material And Methods:
Fifteen sites received ADM, and fifteen control sites received no biomaterial. All sites were sutured with no attempt to achieve primary closure. Initial measurements of buccal and lingual keratinized tissue were taken from the mucogingival line (MGL) to the most coronal gingival margins. Final measurements were taken from the buccal MGL to the lingual MGL 90 days after surgery. Gingival biopsies were taken before implant placement.
Results:
Test and control groups exhibited a mean value of 4.40 ± 1.45 mm and 1.40 ± 1.40 mm, respectively. The newly formed tissue revealed similar histological aspect of normal keratinized tissue.
Conclusion:
Exposed ADM used over tooth extraction sockets can predictably be used to increase the zone of keratinized tissue.
