Multiple gingival recessions treated with the modified coronally advanced flap in conjunction with mucoderm® - PD Dr. S. Hägewald
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01/08 - Multiple adjacent gingival recessions.Multiple gingival recessions treated with the modified coronally advanced flap in conjunction with mucoderm® - PD Dr. S. Hägewald
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02/08 - Flap preparation. Incisions according to the modified coronally advanced flap technique (Zucchelli & De Sanctis J Periodontol. 2000). Additional vertical releasing incisions are made.Multiple gingival recessions treated with the modified coronally advanced flap in conjunction with mucoderm® - PD Dr. S. Hägewald
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03/08 - Flap elevation.Multiple gingival recessions treated with the modified coronally advanced flap in conjunction with mucoderm® - PD Dr. S. Hägewald
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04/08 - Fitted mucoderm® soft tissue matrix is placed over the exposed roots.Multiple gingival recessions treated with the modified coronally advanced flap in conjunction with mucoderm® - PD Dr. S. Hägewald
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05/08 - Flap is repositioned in coronal position and sutured.Multiple gingival recessions treated with the modified coronally advanced flap in conjunction with mucoderm® - PD Dr. S. Hägewald
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06/08 - Clinical situation 2 months post-operative.Multiple gingival recessions treated with the modified coronally advanced flap in conjunction with mucoderm® - PD Dr. S. Hägewald
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07/08 - Clinical situation 6 months post-operative.Multiple gingival recessions treated with the modified coronally advanced flap in conjunction with mucoderm® - PD Dr. S. Hägewald
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08/08 - Clinical situation 2 years post-operative.Multiple gingival recessions treated with the modified coronally advanced flap in conjunction with mucoderm® - PD Dr. S. Hägewald

Initial view of the case. Discoloration of 1.1 and mild class I gingival recession

Initial clinical situation with Miller class 1 recession

Initial clinical situation

Initial clinical situation

Pre-operative clinical situation. Gingival recessions at teeth 11 and 21.

Gingival recession at tooth 13. Free gingival graft (FGG) of a previous surgery for root coverage visible.

X-ray shows a 3-dimensional periondontal defect

Initial clinical situation with lack of keratinized tissue

Bone defect in area 11-21 due to two lost implants (periimplantitis) after 15 years of function

Intact socket following atraumatic tooth extraction

Full-thickness flap preparation bucally and lingually

Initial situation: missing teeth #11 & 12 and badly broken #21 root

Drilling template for guided implant placement

Initial clinical situation showing strongly compromised tooth 21

Pre-surgical clinical situation. Deep gingival recessions at both upper canine.

Pre-surgical situation. Multiple adjacent gingival recessions at teeth 12, 13 and 14.

Clinical situation before surgery

Initial clinical situation

Initial clinical situation with traumatic loss of tooth 21

Longitudinal fracture on the root resected tooth 21 with visible buccal fistula

X-ray showing endodontic failure of the molar

X-ray of initial clinical situation

Initial clinical situation

Alveolar socket before soft and hard tissue augmentation

recession on tooth 11

Insufficient keratinized mucosa and extremely shallow vestibule on the maxilla

Initial clinical situation

Tooth extraction due to root fracture