Bilaminar technique in multiple Miller Class I recessions

Dr. Domenico Patarino

Initial situation

A female patient (35 years old) shows a Miller Class I gingival recession

Used biomaterials

Derma

1. Upper left hemiarch: gingival recessions in the lateral posterior area

2. Elements 2.3 and 2.4: gingival recessions of 3 and 4 mm from CEJ respectively (Miller Class I)

3. Coronally advanced flap for multiple recessions (Zucchelli method)

4. Particular of the cervical abrasions of both elements and papillas

5. Derma grafted and sutured to the receiving site, coronally to CEJ. Note the acute angle of the mesial graft at the canine

6. Suture covering the graft, with a good marginal adjustment of the flap

7. Healing at 5 days: partial dehiscence of the flap at the acute mesial area of the graft

8. Healing at 20 days

9. Tissue healing at 30 days

10. Tissue healing at 2 months

11. Comparison at 2 months

12. Good esthetic result at 11 months after surgery

13. Increase of the gingival thickness

14. B/w comparison between the initial situation and the result after 11 months. Note the increase of keratinized tissue and restoration of the mucogingival line

Used biomaterials

Derma

OsteoBiol by Tecnoss

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