Double papillae connective tissue graft

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Posted on By yiannis vergoullis In Soft Tissue Enhancement

#1.3 class II Miller recession treated with double papillae and CTG.

Yiannis

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5 Comments

Yiannis. I agree with your use of Autogenous graft here. How would you have handled IF Autogenous tissue from the palate wasn't an option?Nice case! Thank you for sharing. Chuck


Reply

Thank you Chuck and Maurice,

Chuck, for canines my objective is always to increase soft tissue thickness. Thus always CTG is my first choice, if CTG not an option then I would use dermis and CPF flap. I would be reluctant on double papillae flap with any dead tissue.

If the objective would be root coverage only, pedicle flaps would also work in this case. I just don't feel confident of long term stability on the canines without increase of ST thickness.

Yiannis


Reply

Yiannis.
Have you considered "Recession Regeneration" technique (McGuire et al)?

http://www.ncbi.nlm.nih.gov/pubmed/19244878

http://www.ncbi.nlm.nih.gov/pubmed/22348698

Chuck


Reply

Chuck no experience with the first one, EMD on the other hand I think is very useful for ST attachment on root surface.
Thanks for the references.
Yiannis


Reply

Fantastic and beautiful technique. Thanks for sharing. Dr. Salama


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