Micro Surgical Tunnel CTG for Root Coverage

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Posted on By Roberto Rossi In Soft Tissue Enhancement

The video shows the treatment of two adjacent Miller class 1 recessions in a very thin gingival biotype. The use of tunneling knives allows for a very atraumatic placement of the connective tissue graft in the recipient area.The graft is further stabilized with resorbable sutures to support its stability for integration. thoughts and comments? Other approaches? Dr. Roberto Rossi

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6 Comments

Nice video, Dr. Rossi. It looks like a Miller class 2 but with equal good prognosis as class 1.

Great work as usual.


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Thanks Mihnea


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Minute clinic...professor. Outstanding and well performed. Great follow up. What instruments? What sutures? Have you had similar results with ACDM materials? Thanks Maurice


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Thanks Maurice ! The instruments are two tunneling knives sold by ADS and designed by Markus Hurtzeler and Otto Zhur. The sutures I used in this case are cytoplast to bring the CT in place and than I stabilized it with 6:0 monocryl that is transparent thus invisible. Just a little 'magic'.i have never used ACD but i am doing a lot of work with Derma which is porcine connective tissue and the results are very interesting.


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Masterly executed.
What made you decide for a CTG instead of a FGG with potential of ulterior creeping attachment to cover the roots?


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Thanks ! I rarely use FGG nowadays, too traumatic for patient, poor color and blending, with ct graft i achieve the best 'biomimetic' result


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