Recessions. All types of flap & tunnel techniques

– Understanding the individual needs of the patient

– Recessions: indications for treatment

– Miller's classification of recessions

– Methods of closing gingival recessions:

- A group with a laterally positioned flap

- A group with a coronally advanced flap

- A group using a free gingival graft

- A group with the use of a subepithelial connective tissue graft.

– Predictability of treatment depending on the treatment plan

– Factors affecting the prognosis of treatment

– Treatment of Class I and II recessions according to Miller: the gold standard procedure

– Tissue healing after the closure of recessions in smokers

– Treatment of recessions of class III and IV according to Miller: the choice of treatment method

– Risk factors for the closure of the exposed root

– The value of the thickness of the keratinized gum for predicting treatment

– Methods of gingival phenotype modification

– Long-term stability of the gingival margin: factors

– Non carious cervical defects: treatment methods

– Treatment of multiple recessions: the use of allogeneic and xenogenic transplants

– Principles of connective tissue graft sampling.

Recommended for: Implantologist, Periodontist, General dentists.

– Mucogingival surgery: principles of biological healing

– Phases of graft healing

– Split and full-layer flap: advantages and disadvantages

– RT сlassification of recessions

– Bilaminar technique for eliminating single and multiple recessions

– Indications and goals for surgical elimination of recession

– Contraindications for conducting tunnel technique

– Сollection of a connective tissue graft from the palate: the significance of the anatomy and phenotype of the donor site

– Tunnel technique: protocol and demonstration of the methodology

– New surgical approach for treating RT3 recession.

Recommended for: Implantologist, Periodontist, General dentists.

– Gingival recessions: definition, causes, consequences

– Classification of recessions

– Algorithm for choosing a method of treating a recession

– Tunnel access techniques: 

- Modifications of the method

- Advantages of technology

- Criteria for successful treatment.

– Connective tissue graft: indications and benefits

– Modified envelope flap: technique

– Treatment protocols for extreme recessions.

Recommended for: Implantologist, Periodontist, General dentists.

– Localized gingival recession: anatomical background 

– Apical displacement of the gingival margin: norm or pathology? 

– Cervical non-carious defects: when do they appear and should they be treated? 

– Dentin hypersensitivity: tactics 

– Risk factors for the development of localized gingival defects 

– New classification of mucogingival conditions 

– Algorithm for choosing a treatment method 

– Tactics of treatment of localized gingival recessions.

Recommended for: Implantologist, Periodontist, General dentists.

– Diagnosis and treatment planning of recessions

– The concept of pathological gingival recession

– Factors influencing the progression of recessions

– Surgical methods of correction of gingival recessions:

- Flap offset

- Use of connective tissue grafts.

– Algorithm for choosing a treatment method

– Working with connective tissue graft:

- Harvesting techniques

- Recipient site design

- Flap moving techniques.

– Principles and protocol of tunnel methodology

– Treatment of deep and narrow recessions, deep and wide recessions: step-by-step protocol

– The laterally stretched flap concept: technical variants.

Recommended for: Implantologist, Periodontist, General dentists.

– Periodontal plastic surgery: indications and risk assesment

– Periodontal plastic surgery techniques:

- Coronally advanced flap

- Laterally closed tunnel

- Pinhole surgical technique

- Vestibular incision subperiostal tunnel access (VISTA).

– Root prominence classification

– Odontoplasty

– Recession outcome predictors:

- Flap tension

- Gingival margin position

- Flap thickness.

– Full and partial thickness flap: comparison

– Material selection:

- Autograft

- Allograft

- Growth factors.

– Tuberosity harvest

– VISTA:

- Advantages

- Step by step protocols

- Clinical cases

- Long-term results.

Recommended for: Implantologist, Periodontist, General dentists.

Time: 1 h 40 min

– Peri-implant plastic surgery: indications and risk assessment

– Gingiva vs peri-implant mucosa

– Significance of peri-implant mucosa

– Importance of implant position

– Soft tissue augmentation techniques:

- Free gingival graft (FGG)

- Allograft/xenograft

- L-PRF

- Pedicle flap

- Vascullarized inter-position (VIP) graft

- VISTA.

– Material selection:

- Connective tissue graft (CTG)

- Tuberousity

- Allograft/xenograft

- Growth factors.

– Extraction socket management

– Soft tissue management during implantation

– Flap design

– Vestibular depth management:

- Fibrin immobilisation vestibular extension (FIVE) technique.

– Esthetic enhancement

– Clinical cases.

Recommended for: Implantologist, Periodontist, General dentists.

Time: 1 h 36 min

– Coronally advanced flap: indications

– Connective tissue graft sampling:

- Trap door

- "L" technique

- Envelope technique.

– Selection of the donor zone for graft collection

– Advantages of de-epithelized graft

– Closing recessions: anatomical and clinical aspects of the choice of treatment method

– Surgical protocol for the treatment of a single recession: a clinical example

– Closing multiple recessions: a technique for creating a forced recession

– Treatment of gingival recessions in the molar region: protocol.

Recommended for: Implantologist, Periodontist, General dentists.