Soft Tissue Flap Techniques for Gingival Recession Treatment: LAST, Coronally Advanced, Tunnel, Envelope and Replaced Flaps
Soft Tissue Flap Techniques for Gingival Recession Treatment: LAST, Coronally Advanced, Tunnel, Envelope and Replaced Flaps
Course overview
Successful root coverage requires more than choosing a flap technique. Predictable results depend on understanding soft tissue anatomy, selecting the appropriate flap design, achieving adequate flap mobility, and precisely managing the connective tissue graft.
This comprehensive course presents a structured surgical approach to the treatment of gingival recessions, covering Laterally Stretched Flaps (LAST), non-displaced flap techniques, Coronally Advanced Flaps (CAF), and connective tissue graft harvesting.
Through step-by-step surgical demonstrations and clinical cases, participants will learn how to select and perform different flap approaches, harvest connective tissue grafts, and integrate grafts into recession coverage procedures.
What you will learn
Principles and clinical indications of different flap techniques for gingival recession treatment
Flap design, preparation, and mobilization, including LAST and CAF
Management of multiple and complex gingival recessions
Connective tissue graft harvesting using de-epithelialized, single-incision, and modified double-blade techniques
Graft positioning, stabilization, and suturing
Clinical protocols for predictable soft tissue management and root coverage.
Course lessons
Lesson 1. Laterally Stretched Flaps (LAST): Flap Mobilization for the Treatment of Complex Gingival Recessions
Biological principles and clinical indications of the Laterally Stretched Flap (LAST) technique
Flap design and preparation for the treatment of deep and complex gingival recessions
Step-by-step flap mobilization and management of soft tissues
Selection, positioning, and stabilization of connective tissue grafts
Suturing techniques and postoperative management
Clinical cases demonstrating the application of the LAST technique.
Lesson 2. Non-Displaced Flap Techniques for Gingival Recession Treatment
Replaced flap technique
Tunnel flap technique
Envelope flap technique
Flap design and soft tissue mobilization
Graft positioning and stabilization
Suturing techniques and clinical considerations.
Lesson 3. Coronally Advanced Flap (CAF): Surgical Technique and Clinical Applications
Indications and treatment principles of the coronally advanced flap (CAF)
Flap design and preparation for gingival recession treatment
Flap mobilization and tension-free coronal advancement
Management of multiple adjacent gingival recessions
Integration of CAF with connective tissue grafts
Step-by-step surgical protocols and clinical cases.
Lesson 4. Connective Tissue Graft Harvesting Techniques
Indications and principles of connective tissue graft harvesting
De-epithelialized free gingival graft harvesting technique
Single-incision and modified double-blade harvesting techniques
Control of graft thickness and dimensions
Donor site management and suturing
Prevention and management of harvesting-related complications.
