Recessions: all types of flap & tunnel techniques
Recessions: all types of flap & tunnel techniques
Course overview
We present to your attention the most complete course in the recessions treatment! All the key methods of treating this pathology are waiting for you.
Thanks to world-renowned lecturers:
Leandro Chambrone
Ion Zabalegui
Roberto Carvalho da Silva
Mariano Sanz Alonso
Nelson Carranza
...you will thoroughly study this topic.
In the online course, doctors will cover the following topics:
Strategy for the selection of techniques and materials for the treatment of recessions
Tunnel technique for single and multiple gingival recession
Treatment of deep (severe) gingival recessions with LAST (Laterally Stretched Flaps)
Pinhole technique protocol
Soft tissue management during implantation
Extraction socket management.
Course lessons
Lesson 1. Tunnel technique for single and multiple gingival recession
Mucogingival surgery: principles of biological healing
Phases of graft healing
Split and full-layer flap: advantages and disadvantages
RT сlassification of recessions
Bilaminar technique for eliminating single and multiple recessions
Indications and goals for surgical elimination of recession
Contraindications for conducting tunnel technique
Сollection of a connective tissue graft from the palate: the significance of the anatomy and phenotype of the donor site
Tunnel technique: protocol and demonstration of the methodology
New surgical approach for treating RT3 recession.
Lesson 2. Root coverage decision tree revisited: tunnel or flap procedures
Gingival recessions: definition, causes, consequences
Classification of recessions
Algorithm for choosing a method of treating a recession
Tunnel access techniques:
Modifications of the method
Advantages of technology
Criteria for successful treatment.
Connective tissue graft: indications and benefits
Modified envelope flap: technique
Treatment protocols for extreme recessions.
Lesson 3. Coronally advanced flap: when a connective tissue graft is needed?
Coronally advanced flap: indications
Connective tissue graft sampling:
Trap door
"L" technique
Envelope technique.
Selection of the donor zone for graft collection
Advantages of de-epithelized graft
Closing recessions: anatomical and clinical aspects of the choice of treatment method
Surgical protocol for the treatment of a single recession: a clinical example
Closing multiple recessions: a technique for creating a forced recession
Treatment of gingival recessions in the molar region: protocol.
Lesson 4. Treatment of deep (severe) gingival recessions with LAST (Laterally Stretched Flaps)
Diagnosis and treatment planning of recessions
The concept of pathological gingival recession
Factors influencing the progression of recessions
Surgical methods of correction of gingival recessions:
Flap offset
Use of connective tissue grafts.
Algorithm for choosing a treatment method
Working with connective tissue graft:
Harvesting techniques
Recipient site design
Flap moving techniques.
Principles and protocol of tunnel methodology
Treatment of deep and narrow recessions, deep and wide recessions: step-by-step protocol
The laterally stretched flap concept: technical variants.
Lesson 5. Localised gingival recessions. Definition, classification, aetiology and risk factors
Localized gingival recession: anatomical background
Apical displacement of the gingival margin: norm or pathology?
Cervical non-carious defects: when do they appear and should they be treated?
Dentin hypersensitivity: tactics
Risk factors for the development of localized gingival defects
New classification of mucogingival conditions
Algorithm for choosing a treatment method
Tactics of treatment of localized gingival recessions.
Lesson 6. Soft tissue management in periodontal regeneration: interproximal attachment gain in RT3
The adequate healing time of the periodontium after non-surgical therapy
How to make clinical decision based on the site’s phenotype
The operative sequence according to the defect’s characteristics
The most advanced plastic regenerative surgical techniques for interdental attachment gain
Techniques to treat RT3 recessions.
Lesson 7. Predictability of root coverage procedures: clinical scenarios and evidence-based treatment options
Understanding the individual needs of the patient
Recessions: indications for treatment
Miller's classification of recessions
Methods of closing gingival recessions:
A group with a laterally positioned flap
A group with a coronally advanced flap
A group using a free gingival graft
A group with the use of a subepithelial connective tissue graft.
Predictability of treatment depending on the treatment plan
Factors affecting the prognosis of treatment
Treatment of Class I and II recessions according to Miller: the gold standard procedure
Tissue healing after the closure of recessions in smokers
Treatment of recessions of class III and IV according to Miller: the choice of treatment method
Risk factors for the closure of the exposed root
The value of the thickness of the keratinized gum for predicting treatment
Methods of gingival phenotype modification
Long-term stability of the gingival margin: factors
Non carious cervical defects: treatment methods
Treatment of multiple recessions: the use of allogeneic and xenogenic transplants
Principles of connective tissue graft sampling.
