Bilaminar technique

  • cover image
  • 1 - Lower jaw: gingival recessions in the anterior region
  • 2 - Dental element 3.3: 10-mm Miller class II recession from CEJ
  • 3 - Partial thickness trapezoidal flap and papillar dissection
  • 4 - Coronal mobilization of the flap
  • 5 - OsteoBiol® <i>Derma</i> hydrated with saline and blood
  • 6 - Occlusal view of the graft sutured at the receiving site
  • 7 - OsteoBiol® <i>Derma</i> graft, shake and apically sutured to CEJ and stabilized laterally with resorbable suture to the receiving site
  • 8 - Coronally elevated flap to uncover the graft: occlusal view
  • 9 - Sutures to enhance the adaptation of the coronal margin of the flap to the dental convexity, single sutures to stabilize the flap
  • 10 - Healing at 20 days
  • 11 - Healing at 2 months: good coverage of the roots and levelling of the muco-gingival line
  • 12 - Healing at 9 months: good coverage of the roots and levelling of the muco-gingival line
  • 13 - Comparison between the initial situation and the tissues at 9 months
  • Clinical indication: soft tissue augmentation
  • Products : Derma
  • Authors : Dr. Domenico Patarino
  • Information about patient: Male, 64 years old
  • Credits : Documentation provided by Dr. Domenico Patarino
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