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عمومی::
فلپ جابهجاشونده به سمت کرونال تغییریافته
This case report describes the predictable coverage of multiple adjacent maxillary gingival recessions using the modified coronally advanced flap (MCAF) technique and modified coronally advanced tunnel technique (MCAT) in conjunction with an acellular porcine-derived collagen matrix (mucoderm(r)) combined with enamel matrix derivative (Straumann(r) Emdogain(r)).
The exposed root surfaces were cleaned with curettes, under local anesthesia, in the region #12 to #14, and split thickness oblique papillary incisions were made according to the modified coronally advanced flap (MCAF) technique (Zucchelli & DeSanctis J Periodontol 2000), thereby creating a new "surgical papilla" and a connective tissue bed (Figs.
Thus, to cover Miller class I and II multiple recession cases, if a satisfactory amount of keratinized gingiva is available apically to the recession, then MCAF and MCAT represent predictable procedures if used with the combination of mucoderm(r) and Emdogain(r).
In the case of a shallow vestibulum, the modified coronally advanced flap (MCAF) may be preferred.
If the coronally advanced flap (CAF) or MCAF is employed, a split-full-split preparation should be performed.
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