Recessions. All types of flap & tunnel techniques

– 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.

Recommended for: Implantologist, Periodontist, General dentists.

– Peri-implant plastic surgery: indications and risk assessment;

– Gingiva vs peri-implant mucosa;

– Significance of peri-implant mucosa;

– Importance of implant position;

– Soft tissue augmentation techniques:

- Free gingival graft (FGG),

- Allograft/xenograft,

- L-PRF,

- Pedicle flap,

- Vascullarized inter-position (VIP) graft,

- VISTA;

– Material selection:

- Connective tissue graft (CTG),

- Tuberousity,

- Allograft/xenograft,

- Growth factors,

– Extraction socket management;

– Soft tissue management during implantation;

– Flap design;

– Vestibular depth management:

- Fibrin immobilisation vestibular extension (FIVE) technique;

– Esthetic enhancement;

– Clinical cases.

– Periodontal plastic surgery: indications and risk assesment;

– Periodontal plastic surgery techniques:

- Coronally advanced flap,

- Laterally closed tunnel,

- Pinhole surgical technique,

- Vestibular incision subperiostal tunnel access (VISTA);

– Root prominence classification;

– Odontoplasty;

– Recession outcome predictors:

- Flap tension,

- Gingival margin position,

- Flap thickness;

– Full and partial thickness flap: comparison;

– Material selection:

- Autograft,

- Allograft,

- Growth factors,

– Tuberosity harvest;

– VISTA:

- Advantages,

- Step by step protocols,

- Clinical cases,

- Long-term results.

Information on the lecturer's participation is to be updated.

– Diagnosis and decision criteria for treatment of gingival recessions;

– Treatment alternatives for deep/narrow and deep/wide recession defects;

– The Laterally Stretched Flap concept: Technical variants;

– Palatal connective tissue harvesting with the Modified Double Blade Harvesting Technique;

– Selection of an adequate grafting technique, and graft customization to the recipient bed

– Management of complex cases: Multiple deep recessions.

– The lesions amenable for root coverage procedures;

– Classification of these lesions and define the most important factors in their diagnosis;

– The ethology and pathogenesis in the development of LGR;

– The risk and predisposing factors for the development of LGR;

– The consequences of treating and non-treating these lesions;

– The current approaches to their management.

– 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.

Recommended for: Implantologist, Periodontist, General dentists.

– Decision-making strategies for treating various forms of recession;

– The decision tree;

– Advantages and disadvantages of using tunneling procedures and regular flaps;

– Comparative characteristics of the use of autologous tissue graft vs substitutes and growth factors;

– The etiology of the gingival recessions;

– When applying the connective tissue graft;

– The role of the growth factors;

– The proper indications of the tunneling procedure;

– The technique step by step.

– 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.

– The main factors influencing the predictability of root coverage procedures according to the different patient-, procedure- and outcome-related factors;

– The main clinical scenarios depicted in the AAP Regeneration Workshop;

– Evidence-based findings on soft tissue (RC) of recession-type defects to daily clinical practice;

– Evidence-based findings to clinical practice, by presenting treatment approaches to the most common “clinical scenarios” related to gingival recession treatment;

– The influence of the keratinized tissue band on the long-term stability of results achieved by reconstructive soft tissue procedures.