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Module III

Periodontal plastic surgery in the treatment of multiple gingival recessions

Summary:

The decision to treat multiple gingival recessions should be preceded by a thorough analysis of each case. This is extremely important, as not only complete coverage of the recession, but also qualitative esthetic results are key to achieving the best treatment outcome. The choice of the optimal surgical technique should take into account the relatively long duration of the procedure. This also involves the decision to use commercially available substitutes for autogenous soft tissue grafts to minimize the number of surgical interventions.

The previous modules have provided you with proficiency in the surgical techniques and manual skills that are essential for performing more advanced reconstructive procedures. During these two days of training, we will practice and develop the surgical skills acquired in previous modules, applying various materials and surgical techniques in the treatment of multiple gingival recessions, including the entire dental arch.

Contents:

  • The coronally advanced flap (CAF)
  • The vertically coronally advanced flap (V-CAF) in the treatment of multiple recessions at the lower incisors without keratinized tissue
  • Tunnel techniques in the treatment of multiple recessions
  • The treatment of multiple mandibular recessions in the area of emergence of the mental nerve
  • The selective positioning of subepithelial connective tissue grafts (SCTG)
  • The use of enamel matrix derivatives, hyaluronic acid, and soft tissue substitute material in the treatment of recessions
  • Treatment planning for multiple recessions in the entire dental arch

Hands-on training:

  • Treatment planning for multiple gingival recessions
  • Harvesting subepithelial connective tissue grafts (SCTG) using the de-epithelialization technique
  • Covering multiple gingival recessions using the modified coronally advanced tunnel technique (MCAT) and SCTG
  • Covering multiple gingival recessions using the coronally advanced flap (CAF) technique and collagen matrix
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