Module II

Periodontal plastic surgery in the treatment of single gingival recessions

Summary:

A major challenge is the treatment of soft tissue defects in the esthetic zone. To achieve satisfactory results, in addition to completely covering the recession, the tissues must be restored with the right color and surface.

The main content of Module II includes theoretical and practical aspects of dealing with single gum recessions. We focus on the most universal surgical techniques and the factors determining the choice of a specific treatment method. We highlight the differences between surgical treatment of recessions in the maxilla compared to recessions in the mandible. We discuss methods for harvesting autogenous soft tissue grafts and techniques for handling the donor site to avoid complications during the procedure and healing process.

Contents:

Gingival recessions: diagnosis, etiology, and contemporary classification
Factors affecting the effectiveness and long-term prognosis following gingival recession treatment
Non-carious cervical lesions associated with gingival recessions: the rationale for restorative treatment prior to surgery, the decision-making process
Harvesting techniques and the characteristics of subepithelial connective tissue grafts (SCTG)
Surgical techniques for the treatment of single recessions: coronally advanced flap (CAF), vertically coronally advanced flap (V-CAF) in the treatment of gingival recession at the lower incisors without keratinized tissue, the tunnel technique
Esthetic evaluation outcomes in root-coverage procedures
Harvesting of a free gingival graft (FGG) and the augmentation of keratinized tissue around teeth
Complications following periodontal plastic surgery: prevention and management

Hands-on training:

Treatment planning for a single gingival recession
Harvesting a subepithelial connective tissue graft (SCTG) using the de-epithelialization technique
Covering a single gingival recession using the coronally advanced flap (CAF) technique
Harvesting a free gingival graft (FGG)
Augmentation of keratinized tissue around teeth using FGG