Multiple Recession Coverage in the Maxilla - ’Zucchelli Approach’ - Dental Online College
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Multiple Recession Coverage in the Maxilla - ’Zucchelli Approach’

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Duration:

28:20

Instructor:

Dr. Hinze

The objective of this surgery done by Dr. Marc Hinze, Gräfelfing/Germany, is to cover multiple gingival recessions in the maxilla with a coronally advanced flap applying the ‘Zucchelli approach’. With the ‘Zucchelli approach’, the recession coverage is made possible due the rotational move of newly created papillae as part of the coronal advancement of the flap.

In the present surgery, multiple recessions in the upper jaw are treated applying the ‘Zucchelli technique’. Part of this approach is the creation of new surgical papillae: First, incisions are made diagonally in the area of the original papillae followed by sulcular incisions to lift the marginal tissue. Once the crestal bone is reached, the preparation of a full thickness flap in the vestibular area is conducted up to the mucogingival junction using the papilla elevator and raspatory. Beyond the mucogingival junction, the flap transitions into a split flap, so that it can be sufficiently mobilized and shifted coronally. At the same time, the flap should be rotated, which allows to build a new papilla.

The existing papillae have to be thoroughly de-epithelialized in order to generate a base for the apposition of the surgically created papillae. A meticulous de-epithelialization is important for the proper attachment and healing of the new papillae.  Once thorough cleaning of the exposed root surfaces and their conditioning with PrefGel (an EDTA substance) is completed, Straumann Emdogain is applied.

Now, the prepared flap is moved coronally so that the recession areas are covered up to the cementoenamel junction. The surgeon attaches the new papillae to their papilla beds with microsurgical sling sutures. The needle enters the buccal flap papilla distally towards the palatal region. Here, the seam is carried around the neck of the tooth through the mesial interproximal area to again enter the papilla base from the buccal side. The suture is then looped back around the same tooth in the palatal area and through the distal interproximal space. Finally, it is tied with the free end, positioning the knot vestibularly.

With the ‘Zucchelli approach’, the recession coverage is made possible due to the diagonal incisions and the rotational move of the newly created papillae as part of the coronal advancement of the flap.

Content of the expert video

Die Zucchelli-Technik ist eine geeignete Methode zur Deckung multipler gingivaler Rezessionen im Oberkiefer-Frontzahnbereich.
Die Zucchelli-Technik ist eine geeignete Methode zur Deckung multipler gingivaler Rezessionen im Oberkiefer-Frontzahnbereich.
Die schräge Schnittführung deutet bereits auf die Rotationsrichtung des Verschiebelappens hin.
Die schräge Schnittführung deutet bereits auf die Rotationsrichtung des Verschiebelappens hin.
Es werden chirurgische Papillen kreiert, die auf den entepithelialisierten anatomischen Papillen zum Liegen kommen.
Es werden chirurgische Papillen kreiert, die auf den entepithelialisierten anatomischen Papillen zum Liegen kommen.
Die Entepithelialisierung der anatomischen Papillen ist die Voraussetzung für ein Anwachsen der chirurgisch kreierten Papillen.
Die Entepithelialisierung der anatomischen Papillen ist die Voraussetzung für ein Anwachsen der chirurgisch kreierten Papillen.

The expert

Dr. Marc Hinze

Praxis für Rekonstruktive Zahnheilkunde & Implantologie in Gräfelfing bei München

  • 2012 Gründung der Praxis für Rekonstruktive Zahnheilkunde & Implantologie in Gräfelfing bei München
  • 2011 Active Member - Seattle Study Club (SSC Tegernsee)
  • 2011 Ernennung zum zertifizierten Spezialisten für Parodontologie® (EDA).
  • 2010 Ernennung zum zertifizierten Spezialisten für Parodontologie® (DGP).
  • 2009 - 2012 BolzWachtel DentalClinic; Privatinstitut für Parodontologie und Implantologie (IPI), München
  • 2007 - 2009 Praxis Dres. Bolz - Wachtel - Hürzeler - Zuhr; Privatinstitut für Parodontologie und Implantologie (IPI), München. ...more »
  • botiss dental Gmbh
  • IDI-PARO
  • CAMLOG
  • Health AG
  • Align Technology Inc.
  • DSI DentaScience Institute®
  • Kuraray
  • Sirona
  • Zimmer Dental
  • Henry Schein
  • Mectron
  • Dentsply Sirona Implants
  • BEGO Implant Systems GmbH & Co. KG
  • CLINICAL HOUSE EUROPE
  • Komet/Gebr. Brasseler GmbH &Co KG
  • W&H Deutschland GmbH
  • IPI München
  • DZR

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The Dental Online College is an online learning platform for dental surgeons and students. This service focuses on providing superior-quality professional training videos in the area of dental medicine that can be called up from an Internet platform. As a professional online training platform, the Dental Online College provides dental surgeons and students with instruction in surgical procedure, demonstrating challenging surgical techniques using easy to understand videos, and including interviews that provide further detail, video presentations, and documentation on performing the procedures in question.

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