PATIENT WITH A DEEP MILLER CLASS II RECESSION

(Clinical case by courtesy of Prof Dr Anton Sculean)

Baseline

Tunnel

Mobilized Tunnel

Connective tissue graft (CTG)

Application of HYADENT

Applied Hyadent in the tunnel

Connective tissue graft fixed in the tunnel

Application of Hyadent on the connective tissue graft

Laterally closed tunnel

Outcome

Surgical treatment of multiple gingival recessions in the esthetic zone with CTG and hyaDENT using the tunnel technique.

(Case by PD Dr Stefan Fickl, Germany)

PRE-OPERATIVE

Patient presented with two severe gingival recessions Miller class II in the esthetic zone (regio 1-2 and 1-3).

SURGERY

Incision-free mobilization of the gingiva in the recipient site (left). CTG was harvested in the appropriate size and the graft surface was conditioned with HYADENT.

Submucoseous positioning of the CTG using the tunnel technique. Graft stabilization with sutures. HYADENT was applied underneath the flap before suturing to achieve accelerated post-operative wound healing.

7 DAYS POST-OPERATIVE

Situation before removal of sutures: accelerated wound healing without signs of infections or irritations.

3 MONTHS POST-OPERATIVE

Excellent reconsolidation of the soft tissue indicated by complete recession coverage and sufficient presence of keratinized gingiva, both in height and in width, thus providing an esthetically highly pleasing result for the patient.