ELIMINATING FREE GINGIVAL GRAFTS IN RECESSION GRAFTING SURGERY

Learning to treat recession with acellular dermis grafting can be a valuable addition to your practice skill set!
This surgical technique is simpler and faster than difficult, tedious TUNNELING AND PIN-HOLE techniques. Soft tissue grafting for recession can be done without PALATE surgery. Acellular dermis has been shown to be equivalent or superior to connective tissue or free gingival grafts. Acellular dermis is an effective barrier membrane when used in socket preservation surgery and generates thick keratinized attachment around implants. Acellular dermis can be used to cover cervical caries lesions, avoiding class V restorations. Platelet-rich growth factors and Emdogain accelerate soft tissue healing, generate keratinized tissue, and produce predictable long-term root surface reattachment.

Course Objectives-In this course you will be able to

• Observe how coronally advanced flap surgery is faster and simpler than other techniques.
• Find that the instrumentation required is readily available from surgical suppliers.
• Recognize the high prevalence of recession defects in dental practice populations, adding new treatment to increase your practice productivity.
• Learn how to use acellular dermis to treat recession, gaining root coverage, keratinized gingiva and generate reattachment.
• Develop treatment plans with soft tissue grafts to achieve predictable results.
• Learn the principles for successful flap design, secure acellular dermis placement and soft tissue suturing with hands-on soft tissue model surgery.

Course Topics

• Diagnosis of types and classes of recession to accurately plan for treatment.
• Anticipation and prevention of complications in soft tissue grafting.
• Types of sutures and their characteristics for secure graft attachment and complete flap closure.
• Covering root caries with acellular dermis, avoiding class V composites.
• Benefits of using 1% metronidazole antibiotic gel to manage soft tissue healing complications.
• Key steps in successful soft tissue augmentation of implant sites with acellular dermis.
• Biologics platelet-rich growth factors (alpha-PRF) and enamel matrix derivative are essential in gaining root coverage and soft tissue reattachment.
• Live surgery videos with step-by-step narration of single-site and multiple-site soft tissue graft surgery.
• Key principles in generation of keratinized soft tissue attachment.
• Use of modified surgical technique to overcome the difficulties of molar recession graft coverage.
• Evidence basis for socket preservation grafting with acellular dermis barriers and growth factors.
• Effects of INFUSE (rhBMP-2) on bone regeneration and soft tissue healing.
• Importance of keratinized gingival tissue adjacent to implants and how to achieve it.