Flap surgery in conjunction with enamel matrix derivative
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In CAF-procedures in conjunction with Straumann® Emdogain®, the exposed root surfaces are cleaned and sulcular incisions at the site of the recessions are made extending horizontally in the adjacent interdental tissues. To elevate a full thickness flap, two vertical slightly divergent releasing incisions are made that connect to the horizontal incisions. The periosteum is cut to allow for tension-free positioning of the flap in coronal direction and the papilla are deepithelized. The root surfaces are conditioned by applying Straumann® PrefGel® for 2 minutes. After thorough rinsing, Straumann® Emdogain® is applied to fully cover the exposed root surfaces. The flap is repositioned coronally and sutured at the level of the cemento-enamel junction.