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Dr. Massimo de Sanctis
The Selective Use of Connective Tissue Graft in Treating Multiple Gingival Recession
The multiple coronally advanced flap (MCAF), proposed by Zucchelli and de Sanctis (2000), has become
the most widely used root coverage procedure for multiple recession defects. It is the first-choice surgical technique in presence of an adequate keratinized tissue width (KTW) apical to the recession and it is very effective with advantages for the patients in terms of aesthetics and morbidity.
The use of a connective tissue graft (CTG) under MCAF has been introduced to increase the predictability of the procedure. The application of CTG is associated with the highest probability to obtain complete root coverage (CRC) as well as with an increase of gingival thickness (GT) and of the KTW over time.
Since very often teeth adjacent to each other present different phenotype, Stefanini et al. (2018)8 in a case
series proposed MCAF with site-specific application of CTG, reporting a significant increase in KTW in the
MCAF + CTG treated-sites compared with baseline.
Learning Objectives:
• A complete understanding of the specific characteristic of multiple recession type lesions
• A clinical and biological explanation of the use of a connective tissue graft
• A new surgical noninvasive technique effectively treat multiple recessions in esthetic areas of the mouth
Hands-on Workshop with Dr. Sofia Aroca and Dr. Massimo de Sanctis (Wednesday, October 2, 2024 | 8:00am - 5:00pm)