Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® and Straumann® Emdogain® - Dr. F. Rathe (2)
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01/09 - Pre-operative clinical situation. Shallow multiple adjacent gingival recessions in the first quadrant.Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® and Straumann® Emdogain® - Dr. F. Rathe (2)
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02/09 - Pre-operative clinical situation. Shallow multiple adjacent gingival recessions in the second quadrant.Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® and Straumann® Emdogain® - Dr. F. Rathe (2)
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03/09 - mucoderm® inserted into the previously prepared tunnel in the first quadrant. Inseration of the collagen matrix via an additionel vestibular incision.Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® and Straumann® Emdogain® - Dr. F. Rathe (2)
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04/09 - Coronal advancement of the prepared tunnel and suturing.Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® and Straumann® Emdogain® - Dr. F. Rathe (2)
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05/09 - Tunnel preparation and additional vestibular incision in the second quadrant.Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® and Straumann® Emdogain® - Dr. F. Rathe (2)
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06/09 - Inseration of mucoderm® into the tunnel via the entrance of the vestibular incision and placement over the exposed root surfaces. Root surfaces were pre-treated with Straumann® PrefGel® and Straumann® Emdogain®.Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® and Straumann® Emdogain® - Dr. F. Rathe (2)
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07/09 - Coronal advancement of the prepared tunnel to cover the mucoderm® matrix completely and suturing.Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® and Straumann® Emdogain® - Dr. F. Rathe (2)
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08/09 - Clinical situation of the first quadrant 2 weeks post-operative.Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® and Straumann® Emdogain® - Dr. F. Rathe (2)
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09/09 - Clinical situation of the second quadrant 2 weeks post-operative.Multiple gingival recessions treated with the modified coronally advanced tunnel in conjunction with mucoderm® and Straumann® Emdogain® - Dr. F. Rathe (2)
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








