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Multiple recession coverage with mucoderm® and Straumann® Emdogain® - 4 year follow-up - Prof. G. Zucchelli & Dr. M. Stefanini
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1/12 - Initial clinical situation
Multiple recession coverage with mucoderm® and Straumann® Emdogain® - 4 year follow-up - Prof. G. Zucchelli & Dr. M. Stefanini -
2/12 - Flap design: coronally advanced envelope type flap for multiple gingival recessions
Multiple recession coverage with mucoderm® and Straumann® Emdogain® - 4 year follow-up - Prof. G. Zucchelli & Dr. M. Stefanini -
3/12 - Flap elevation: with a split-full split approach
Multiple recession coverage with mucoderm® and Straumann® Emdogain® - 4 year follow-up - Prof. G. Zucchelli & Dr. M. Stefanini -
4/12 - EDTA gel application on the exposed root surfaces
Multiple recession coverage with mucoderm® and Straumann® Emdogain® - 4 year follow-up - Prof. G. Zucchelli & Dr. M. Stefanini -
5/12 - Amelogenins application on the exposed root surfaces
Multiple recession coverage with mucoderm® and Straumann® Emdogain® - 4 year follow-up - Prof. G. Zucchelli & Dr. M. Stefanini -
6/12 - After de-epithelization of the anatomic papillae
Multiple recession coverage with mucoderm® and Straumann® Emdogain® - 4 year follow-up - Prof. G. Zucchelli & Dr. M. Stefanini -
7/12 - mucoderm® fixation
Multiple recession coverage with mucoderm® and Straumann® Emdogain® - 4 year follow-up - Prof. G. Zucchelli & Dr. M. Stefanini -
8/12 - Occlusal view of the sutured matrix
Multiple recession coverage with mucoderm® and Straumann® Emdogain® - 4 year follow-up - Prof. G. Zucchelli & Dr. M. Stefanini -
9/12 - Occlusal view after flap closure: note complete absence of bleeding
Multiple recession coverage with mucoderm® and Straumann® Emdogain® - 4 year follow-up - Prof. G. Zucchelli & Dr. M. Stefanini -
10/12 - Coronally advanced flap closure: note that the matrix is completely covered by the flap
Multiple recession coverage with mucoderm® and Straumann® Emdogain® - 4 year follow-up - Prof. G. Zucchelli & Dr. M. Stefanini -
11/12 - 1 year follow-up
Multiple recession coverage with mucoderm® and Straumann® Emdogain® - 4 year follow-up - Prof. G. Zucchelli & Dr. M. Stefanini -
12/12 - 4 years follow-up
Multiple recession coverage with mucoderm® and Straumann® Emdogain® - 4 year follow-up - Prof. G. Zucchelli & Dr. M. Stefanini
Alveolar socket before soft and hard tissue augmentation
Pre-operative OPG shows deep vertical intrabony defects on the distal aspects of teeth 13 and 14.
Radiographic view before periodontal regenerative therapy with Straumann® Emdogain®. A deep intrabony defect appeared mesially and distally on the left mandibular first premolar. Pre-surgical probing measured 8 mm. The defect morphology presented as well-contained.
Baseline clincial situation and pre-surgical probing.
Pre-operative radiographic view.
Baseline clinical situation. Recession depth of 6 mm at tooth 31.
Initial situation: 40 year old female patient with extensive scar tissue after several surgeries restored with a Rochette bridge
Pre-operative X-ray. Hopless tooth 21.
Pre-operative clinical situation.
Pre-operative radiograph. Intrabony defect on the mesial aspect of tooth 14.
Pre-operative clinical situation. Gingival recessions at teeth 11 and 21.
Pre-surgical situation. Multiple adjacent gingival recessions at teeth 12, 13 and 14.
Pre-operative clinical view. Multiple adjacent gingival recessions.
Initial situation: bone loss due to lack of physical load of bridge retained region 11
Pre-operative radiographic view. Intrabony defect on the distal aspect of the lateral incisor.
Situation after tooth removal.
Pre-operative clinical situation.
Pre-surgical clinical situation, buccal view.
Pre-operative probing pocket depth (PPD) at the distal aspect of tooth 11 was 7 mm.
Pre-surgical clinical situation. Deep gingival recessions at both upper canine.
Pre-operative clinical situation. Multiple adjacent gingival recessions.
Pre-operative clinical situation. Shallow multiple adjacent gingival recessions in the first quadrant.
Bone defect in area 11-21 due to two lost implants (periimplantitis) after 15 years of function
