Multiple gingival recessions treated with the modified coronally advanced flap in conjunction with mucoderm® - Prof. Dr. Dr. A. Kasaj
-
01/06 - Pre-surgical clinical situation. Multiple adjacent gingival recessions at teeth 12,13 and 14.Multiple gingival recessions treated with the modified coronally advanced flap in conjunction with mucoderm® - Prof. Dr. Dr. A. Kasaj
-
02/06 - Flap preparation according to the modified coronally advanced flap technique (Zucchelli & De Sanctis J Periodontol. 2000). Sulcular incision from tooth 11 to 15 and elevation of a splitthickness flap.Multiple gingival recessions treated with the modified coronally advanced flap in conjunction with mucoderm® - Prof. Dr. Dr. A. Kasaj
-
03/06 - Rehydrated and trimmed mucoderm® is placed over the denuded roots.Multiple gingival recessions treated with the modified coronally advanced flap in conjunction with mucoderm® - Prof. Dr. Dr. A. Kasaj
-
04/06 - The flap is repositioned in coronal direction to cover the root surfaces and the mucoderm® matrix completely.Multiple gingival recessions treated with the modified coronally advanced flap in conjunction with mucoderm® - Prof. Dr. Dr. A. Kasaj
-
05/06 - Clinical situation 3 months post-operative. Significant coverage of the roots and increased thickness of the marginal tissue.Multiple gingival recessions treated with the modified coronally advanced flap in conjunction with mucoderm® - Prof. Dr. Dr. A. Kasaj
-
06/06 - Clinical situation 18 months post-operative.Multiple gingival recessions treated with the modified coronally advanced flap in conjunction with mucoderm® - Prof. Dr. Dr. A. Kasaj

Initial view of the case. Discoloration of 1.1 and mild class I gingival recession

Initial clinical situation with Miller class 1 recession

Initial clinical situation

Initial clinical situation

Pre-operative clinical situation. Gingival recessions at teeth 11 and 21.

Gingival recession at tooth 13. Free gingival graft (FGG) of a previous surgery for root coverage visible.

recession on tooth 11

Insufficient keratinized mucosa and extremely shallow vestibule on the maxilla

Initial clinical situation

Tooth extraction due to root fracture

Full-thickness flap preparation bucally and lingually

Initial situation: missing teeth #11 & 12 and badly broken #21 root

Drilling template for guided implant placement

Initial clinical situation showing strongly compromised tooth 21

Pre-surgical clinical situation. Deep gingival recessions at both upper canine.

Pre-surgical situation. Multiple adjacent gingival recessions at teeth 12, 13 and 14.

Multiple adjacent gingival recessions.

X-ray shows a 3-dimensional periondontal defect

Initial clinical situation with lack of keratinized tissue

Bone defect in area 11-21 due to two lost implants (periimplantitis) after 15 years of function

Intact socket following atraumatic tooth extraction

X-ray of initial clinical situation

Initial clinical situation

Alveolar socket before soft and hard tissue augmentation

Clinical situation before surgery

Initial clinical situation

Initial clinical situation with traumatic loss of tooth 21

Longitudinal fracture on the root resected tooth 21 with visible buccal fistula