Dr. Massimo de Sanctis
• In 1982, graduated in Periodontology at Boston University., where he also obtained a Master of Science degree in Periodontology for an experimental study which he conducted between 1982 and 1983
• In 1987, dr de Sanctis was appointed professor of Periodontology at the II University of Rome where he taught until 1989
• From 1989 to 1999 he has held various teaching positions at the University of Bologna
• From 2000 to 2014 he was professor of Periodontology at the University of Siena
• From 2015 he was nominated Professor at the University Vita-Salute San Raffaele Milano
• He is chair of the program of Periodontology
• Director of the Clinical Department of Periodontology
• Author of more than 100 scientific articles
• He is Fellow of the International College of Dentistry,
• Member of the American Academy of Periodontology
• Past President of the Italian Society of Periodontology.
• Past president of the Italian Coordinating Committee for the Scientific Societies
Main Podium Lecture
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. Sophia Aroca (Wednesday, October 2, 2024 | 8:00am - 5:00pm)
Periodontal Plastic Surgery
• Periodontal plastic surgical procedures aiming to treat multiple recession defects have been extensively described in the literature. Most of them can be combined with CTG or with soft tissue substitutes in order to increase the marginal gingiva thickness which in turn ensures the long term stability.
• Nevertheless, the surgical techniques used are very technical sensitive and need a deep knowledge on behalf of the clinician in order to obtain predictable results.
• The course will focus on presenting step by step of the tunnel technique and a comprehensive philosophy of surgical risk factors which need to take into account to optimize the clinical outcomes. Clinical cases and surgical techniques using connective tissue grafts and a new resorbable matrix will be demonstrated.