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Soft Tissue Regeneration with Geistlich Fibro-Gide® and REGENFAST®

Multiple recession coverage in the anterior maxilla

Dr. Federico Rivara · Italy
 · September 07, 2023
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"I used Geistlich Fibro-Gide® to achieve root coverage in the presence of root abrasions. REGENFAST® played a role in improving soft-tissue healing in particular in the early phase when wound stability is crucial for the success of the treatment."

The Situation

A patient (44 years old, male, pipe smoker once a day) with gingival recessions RT-1 on upper central incisors with intact enamel-cement junction. Recession coverage surgery was performed in combination with Geistlich Fibro-Gide®.

1 | Initial situation: teeth 11 and 21 present with gingival recession, root abrasion and preserved cement-enamel junction.
1 | Initial situation: teeth 11 and 21 present with gingival recession, root abrasion and preserved cement-enamel junction.
2 | Flap design for coronally advanced flap.
2 | Flap design for coronally advanced flap.
3 | Split-full-split thickness flap, the anatomical papillae are de-epithelized. The roots are smoothed with curettes.
3 | Split-full-split thickness flap, the anatomical papillae are de-epithelized. The roots are smoothed with curettes.
4 | Geistlich Fibro-Gide® is shaped.
4 | Geistlich Fibro-Gide® is shaped.
5 | REGENFAST® is applied on the matrix until it is soaked.
5 | REGENFAST® is applied on the matrix until it is soaked.
6 | Geistlich Fibro-Gide® is fixated with polyglycolic acid 6-0 sutures.
6 | Geistlich Fibro-Gide® is fixated with polyglycolic acid 6-0 sutures.
7 | The flap is released with superficial and deep incisions on the inner side, and sutured. Vertical incisions are sutured with single stitches.
7 | The flap is released with superficial and deep incisions on the inner side, and sutured. Vertical incisions are sutured with single stitches.
8 | 14-day check, the situation is stable.
8 | 14-day check, the situation is stable.
9 | Follow-up at 6 months. The soft tissue situation is stable. The root coverage is complete.
9 | Follow-up at 6 months. The soft tissue situation is stable. The root coverage is complete.
1 | Initial situation: teeth 11 and 21 present with gingival recession, root abrasion and preserved cement-enamel junction.
2 | Flap design for coronally advanced flap.
3 | Split-full-split thickness flap, the anatomical papillae are de-epithelized. The roots are smoothed with curettes.
4 | Geistlich Fibro-Gide® is shaped.
5 | REGENFAST® is applied on the matrix until it is soaked.
6 | Geistlich Fibro-Gide® is fixated with polyglycolic acid 6-0 sutures.
7 | The flap is released with superficial and deep incisions on the inner side, and sutured. Vertical incisions are sutured with single stitches.
8 | 14-day check, the situation is stable.
9 | Follow-up at 6 months. The soft tissue situation is stable. The root coverage is complete.
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About the author

Dr. Federico Rivara | Italy

Clinica Dentale Rivara, Mantova, Italy