Double papillae connective tissue graft

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Posted on 07.11.2014 03:14 AM 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

Charles Schwimer says on 07.15.2014 08:29 AM

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

yiannis vergoullis says on 07.15.2014 11:02 AM

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

Charles Schwimer says on 07.15.2014 12:26 PM

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

yiannis vergoullis says on 07.16.2014 04:13 AM

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

Maurice Salama says on 07.15.2014 09:14 AM

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