Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® and Straumann® Emdogain® - Dr. F. Rathe (1)
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01/08 - Pre-operative clinical situation. Gingival recessions at teeth 11 and 21.Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® and Straumann® Emdogain® - Dr. F. Rathe (1)
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02/08 - Tunnel preparation according to the MCAT technique (Azzi & Etienne Int J Periodontics Restorative Dent. 1998) and one additional vestibular incision.Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® and Straumann® Emdogain® - Dr. F. Rathe (1)
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03/08 - Application of Straumann® PrefGel® to the root surface (tooth 21).Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® and Straumann® Emdogain® - Dr. F. Rathe (1)
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04/08 - Application of Straumann® Emdogain® to the root surface (tooth 21).Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® and Straumann® Emdogain® - Dr. F. Rathe (1)
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05/08 - mucoderm® collagen matrix cut to size.Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® and Straumann® Emdogain® - Dr. F. Rathe (1)
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06/08 - mucoderm® inserted into the prepared tunnel via the entrance of the vestibular incision.Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® and Straumann® Emdogain® - Dr. F. Rathe (1)
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07/08 - Advancement of the prepared tunnel in coronal direction and suturing.Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® and Straumann® Emdogain® - Dr. F. Rathe (1)
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08/08 - Clinical situation 6 months post-operative.Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® and Straumann® Emdogain® - Dr. F. Rathe (1)

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

Multiple adjacent gingival recessions.

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.

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

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

recession on tooth 11

Insufficient keratinized mucosa and extremely shallow vestibule on the maxilla

Initial clinical situation

Tooth extraction due to root fracture