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Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® - Dr. A. Puisys
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01/22 - Baseline clinical situation, frontal view.
Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® - Dr. A. Puisys -
02/22 - Baseline clinical situation, lateral view.
Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® - Dr. A. Puisys -
03/22 - Baseline clinical situation, lateral view.
Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® - Dr. A. Puisys -
04/22 - mucoderm® collagen matrices cut to size.
Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® - Dr. A. Puisys -
05/22 - Preparation of the tunnel in the upper jaw.
Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® - Dr. A. Puisys -
06/22 - Prepared tunnel.
Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® - Dr. A. Puisys -
07/22 - mucoderm® hold against the recession defects to determine the required length of the collagen matrices.
Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® - Dr. A. Puisys -
08/22 - mucoderm® in situ under the tunnel.
Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® - Dr. A. Puisys -
09/22 - mucoderm® in situ under the tunnel. Contralateral side.
Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® - Dr. A. Puisys -
10/22 - Coronal positing of the tunnel and suturing. Frontal view.
Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® - Dr. A. Puisys -
11/22 - Coronal positing of the tunnel and suturing. Lateral view.
Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® - Dr. A. Puisys -
12/22 - Coronal positing of the tunnel and suturing. Contralateral side.
Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® - Dr. A. Puisys -
13/22 - Clinical situation 1 week post-surgical.
Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® - Dr. A. Puisys -
14/22 - Clinical situation 1 week post-surgical.
Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® - Dr. A. Puisys -
15/22 - Clinical situation 2 weeks post-surgical.
Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® - Dr. A. Puisys -
16/22 - Clinical situation 2 weeks post-surgical.
Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® - Dr. A. Puisys -
17/22 - Clinical situation 4 weeks post-surgical.
Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® - Dr. A. Puisys -
18/22 - Clinical situation 4 weeks post-surgical.
Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® - Dr. A. Puisys -
19/22 - Clinical situation 12 months post-operative.
Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® - Dr. A. Puisys -
20/22 - Clinical situation 12 months post-operative. Occlusal view.
Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® - Dr. A. Puisys -
21/22 - Clinical situation 18 months post-operative.
Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® - Dr. A. Puisys -
22/22 - Clinical situation 2 years post-operative.
Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® - Dr. A. Puisys
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.
recession on tooth 11
Insufficient keratinized mucosa and extremely shallow vestibule on the maxilla
Initial clinical situation
Tooth extraction due to root fracture
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.
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
X-ray of initial clinical situation
Initial clinical situation
Alveolar socket before soft and hard tissue augmentation
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
