Gum recession even after treatment continues to be in the spotlight during periodontal disease/Periodontitis treatment. Patients want not only to get rid of tooth roots high sensitivity but they also need a high aesthetics. As an additional mean to high-tech flap surgery we also use Emdogain®, which is based on a biological framework, restores aesthetics and provides opportunities for lost periodontal disease/Periodontitis tissues re-growth.
Operation stages:
Scaling and tooth root open surface alignment for plaque, odontolith and surface irregularities remove are conducted.
The extensive root alignment is recommended in cases of diagnosed and carious tooth root lesion. The presence of restoration does not preclude the possibility of tooth root closing, but the restoration should be ideally removed before the tooth root closure with a help of soft tissue flap.
In a place of recession a cut of groove (two vertical divergent aperient cuts, starting from lateral endpoints of horizontal cuts with the direction into apical mucous lining) is made.
Full-flap is separated.
Split flap (without periosteum) is performed in a way of blunt dissection.
Buccal aspect of interdental papilla is disepithelialized to create a connective substrate for flap suturing.
"Dirty layer" is removed with the next following process of tooth root surface processing using PrefGel during few minutes. After that it is thoroughly washed with saline-solution usage.
Emdogain® is immediately applied on, completely covering the treated tooth root surface.
Flap moves onto the direction of crowns and is fixed on the enamel-cement level, making a disepithelialized papillae lousy.
In 8 months after starting the treatment recession disappears. Final result: tooth root covers with the gum, correct gingival contour, and growth of attached keratinized gingiva in its amount.
Before and after surgery:
P.S.: Recession in the 15 and 25
Operation stages:
Scaling and tooth root open surface alignment for plaque, odontolith and surface irregularities remove are conducted.
The extensive root alignment is recommended in cases of diagnosed and carious tooth root lesion. The presence of restoration does not preclude the possibility of tooth root closing, but the restoration should be ideally removed before the tooth root closure with a help of soft tissue flap.
In a place of recession a cut of groove (two vertical divergent aperient cuts, starting from lateral endpoints of horizontal cuts with the direction into apical mucous lining) is made.
Full-flap is separated.
Split flap (without periosteum) is performed in a way of blunt dissection.
Buccal aspect of interdental papilla is disepithelialized to create a connective substrate for flap suturing.
"Dirty layer" is removed with the next following process of tooth root surface processing using PrefGel during few minutes. After that it is thoroughly washed with saline-solution usage.
Emdogain® is immediately applied on, completely covering the treated tooth root surface.
Flap moves onto the direction of crowns and is fixed on the enamel-cement level, making a disepithelialized papillae lousy.
In 8 months after starting the treatment recession disappears. Final result: tooth root covers with the gum, correct gingival contour, and growth of attached keratinized gingiva in its amount.
Before and after surgery:
P.S.: Recession in the 15 and 25
