Mucogingival Surgery: Root Coverage Protocols 2.0

Category: Periodontology

Instructor(s): Mariano Sanz, Homa Zadeh, Robert Carvalho da Silva, Ilham Mounssif

Course structure: Lessons: 7 lessons | Duration: 10 h 28 min

Course overview

New protocols for surgical treatment of recession are presented in the course "Mucogingival surgery: root coverage protocols 2.0"!
During the training you will learn step-by-step the following protocols:
– Diagnosis and treatment planning of recession
– Treatment of single and multiple recession in the maxilla and mandible
– Work with connective tissue graft
– Flap techniques:
- envelope flap technique
- single incision technique
- L-incision technique.
– Tunnel techniques:
- author's VISTA technique.

Curriculum

Root coverage: treatment planning

• Lesson program
• – Recessions: etiology and classification
• – Root coverage: prognostic factors
• – Tunnel techniques: technical features
• – Criteria for successful treatment of recessions
• – Indications for the use of a connective tissue graft
• – The effect of Emdogain on periodontal tissue
• – Connective tissue graft: donor zones
• – Tunneling approach: demonstration of the methodology
• – VISTA methodology: video demonstration
• – The "Zipper technique"
• – Techniques for closing multiple recessions.
• Recommended for: Periodontists.

Root coverage: complications and pitfalls

• Lesson program
• – Types of complications in the root coverage
• – Root coverage success criteria
• – Root coverage decision tree
• – Surgical technical notes
• – Prognostic factors to achieve predictable outcomes
• – Indications for root coverage that appeared after orthodontic treatment
• – Protocol for the xenograft using in root coverage
• – Non carious cervical lesions: tactics
• – CEY identification
• – Methods for the phenotype of soft tissues evaluation
• – Graft necrosis: reasons and tactics.
• Recommended for: Periodontists.

Treatment of maxillary localised gingival recession

• Lesson program
• – Classification of localised gingival recessions
• – Diagnostics of the mucogingival lesions and planing their treatment to achieve the best possible outcomes
• – Gingival recession lockalized in the maxilla: classification, diagnosis and treatment approaches
• – Treatment standards for root coverage
• – Using of autologous grafts in combination with the envelope technique for single tooth recession
• – The tunnel technique for the treatment of multiple adjacent tooth recession: step-by-step protocol
• – Coronally advanced flap: step-by-step protocol
• – Technique of connective tissue graft sampling.
• Recommended for: Periodontists.

Diagnosis of gingival recession and determination of treatment tactics

• Lesson program
• – How to diagnose a gingival recession?
• – Clinical and anatomical cement-enamel junction
• – Non-carious cervical defects: associated with gingival recession
• – Classification of gingival recession
• – Prognosis of root coverage procedure
• – How to determine the maximum root coverage achievable?
• – Etiology of gingival recession
• – Indications and goals for surgical treatment of gingival recession.
• Recommended for: Periodontists.

Harvesting technique for root coverage procedures

• Lesson program
• – Palatal anatomy and its influence in choosing the proper harvesting technique
• – Techniques available in the literature:
• trap door
• L-incision technique
• single incision technique.
• – De-epithelialized free gingival graft technique: step-by-step surgical technique
• – Advantages and disadvantages of different harvesting techniques
• – Primary intention palatal wound healing
• – Complication of the de-epithelialized free gingival graft technique.
• Recommended for: Periodontists.

Treatment of single and multiple gingival recessions

• Lesson program
• – Prognostic factors in the gingival recession treatment
• – Coronally advanced flap in the treatment of single gingival recession: step-by-step surgical technique, indications and contraindications
• – Coronally advanced flap (envelope flap) in the treatment of multiple gingival recession: step-by-step surgical technique, indications and contraindications
• – When applying the connective tissue graft
• – Connective tissue graft substitute.
• Recommended for: Periodontists.

Updated VISTA technique

• Lesson program
• – History of concepts for management of gingival recession defects
• – Periodontal phenotype
• – Review of classic surgical techniques for the treatment of periodontal diseases
• – Advantages of VISTA technique
• – Mucosal split-thickness vs mucosal full-thickness flap
• – Significance of periodontal phenotype in long-term stability of periodontal tissues
• – Decision making on when phenotype modification therapy is necessary and whether augmentation of mucosa and/or alveolar bone augmentation is needed
• – The VISTA protocol for phenotype modification therapy.
• Recommended for: Periodontists, Implantologists, Oral and maxillofacial surgeons, General dentists.