Mucogingival Surgery in Periodontal Therapy. Zucchelli Masterclass 2024.

Lesson 1 – Clinical diagnosis in Periodontics

Lesson program:

• Concepts of periodontal disease aetiopathogenesis
• Biological and behavioral risk factors
• Periodontal diseases and pathological conditions classification
• An overview of periodontal disease clinical indicators
• Periodontal probing
• The role of the hygienist and the full mouth plaque score

Duration: 1 h 38 min

Lesson 2 – Periodontal examination

Lesson program:

• The completion of the periodontal chart
• Relevant definitions: BOP, CAL, CAL gain and BL gain
• The site specific approach to the periodontal probing
• Root canal and furcations analysis

Duration: 55 min

Lesson 3 – Aetiological therapy

Lesson program:

• Causal therapy times, modalities and instruments
• Periodontal probing: additional insights
• The synergy between non-surgical therapy and treatment strategies
• The assessment of the attachment level

Duration: 1 h 07 min

Lesson 4 – The radiographic examination

Lesson program:

• The value of the collected data via intraoral x-ray
• Practical tips on performing and optimizing the collected data
• The use of centring devices and bite-wings
• Defect analysis and defect components
• CAL gain VS Bone Level gain

Duration: 1 h 32 min

Lesson 5 – Gingival recession treatment diagnosis and prognosis

Lesson program:

• Considerations about a new possible definition of gingival recession
• Abnormalities and abrasions at the enamel level
• Occlusal traumas and parafunctional activities
• The evaluation of the presence of step at the enamel-cement junction

Duration: 1 h 03 min

Lesson 6 – Gingival recession treatment diagnosis and prognosis

Lesson program:

• Profile morphology and treatment decision making
• The matching between the profile and the technique of choice
• Esthetically driven approach to root coverage and clot stabilization
• The role of the keratinized tissue and indications on the use of heterologous matrices and autologous grafts
• The synergy between mucogingival and conservative surgery

Duration: 1 h 21 min

Lesson 7 – Coronally displaced flap for single recession

Lesson program:

• Flap design techniques
• The management of partial thickness surgical papillae
• The management of anatomical papillae
• Advantages of the trapezoidal papilla design
• Detailed flap thickness breakdown in the various stages of application of the technique
• Indications on instrumentation and its use
• Information on needles and sutures and their use
• Suture techniques

Duration: 1 h 07 min

Lesson 8 – Coronally displaced flap for single recession

Lesson program:

• Indications for pharmacological management of the periodontal surgical patient
• Indications for the use of heterologous matrixes
• Surgical technique with heterologous matrixes
• Epithelial-connective graft harvesting technique from the palate
• Surgical wound management of the harvest area
• Step-by-step review of CAF+CTG technique application

Duration: 1 h 28 min

Lesson 9 – Gingival recessions of the lower incisors

Lesson program:

• Single recession on lower incisors: the value of the multidisciplinary approach
• Outlines of the orthodontic treatments
• The Fadda-Zucchelli technique: a comprehensive overview
• The management of RVD (residual vestibular depth)
• V-CAF technique: Vertically-Coronally Advanced Flap

Duration: 1 h 08 min

Lesson 10 – Gingival recessions of the lower incisors

Lesson program:

• The key role of the keratinized tissue
• V-CAF surgical technique
• The use of the connective graft in the V-CAF technique

Duration: 56 min

Lesson 11 – Alternative technique for narrow single recessions on lower incisors: tunnel with lateral slip

Lesson program:

• Tunnel technique with lateral slip
• Lateral tunnel opening and debonding
• The synergy between tunnel technique and deepithelialized palatal graft
• The use of surgical cyanoacrylate in stabilizing the surgical wound in the palatal harvest area

Duration: 32 min

Lesson 12 – Surgical treatment of multiple recessions in the maxilla

Lesson program:

• A multidisciplinary conservative and surgical approach
• Esthetically-guided reconstruction of the cement-enamel junctions
• Step-by-step design of the multiple coronal flap
• The management of the surgical papillae of the multiple coronal flap
• Split VS full incision thickness

Duration: 28 min

Lesson 13 – Surgical treatment of multiple recessions in the maxilla

Lesson program:

• The evolution of surgical technique and the actual state of the art
• A detailed breakdown of the incision technique
• Site-specific placement of the connective graft
• Use of matrices as a functionality of connective graft

Duration: 1 h 02 min

Lesson 14 – Surgical treatment of multiple recessions in the mandible

Lesson program:

• How to respect the inferior alveolar nerve in mucogingival surgery
• Causes and management of a flap perforation
• Principles of site-specific anesthesia
• The application of the multiple coronal flap in the mandible
• Root scaling and attachment gain

Duration: 1 h 30 min

Lesson 15 – Surgical treatment of lower incisors gingival recessions

Lesson program:

• Flap design and detachment
• The proper management of muscular insertions and vascular bed to ensure verticality of the vestibule

Duration: 1 h 10 min

Lesson 16 – Final Re-LIVE Surgery

In this final Re-LIVE Surgery, Prof. Zucchelli will show participants the practical application of the previously commented surgical protocols.

The aim of this Re-LIVE is to highlight the movement of the various team members during the surgery.

Duration: 1 h 30 min