In recent years, a better understanding of the biology, combined with improved surgical techniques yielded to clinical concepts enabling predictable treatment outcomes in intrabony, furcation, and also recession-type defects. In carefully selected patients and defects, in conjunction with a strict pre -and postoperative infection control, reconstructive periodontal surgery may lead to substantial regeneration of hard and soft tissues and clinical benefits evidenced by probing depth reduction, gain of clinical attachment, defect fill and improved esthetic outcomes. Moreover, longitudinal studies have also provided evidence for long-term stability of the clinical outcomes, thus pointing to the clinical relevance of these concepts in improving tooth prognosis. Very recently, new formulations of EMD such as Osteogain combined with various types of bone grafting materials or collagen matrices have been shown to positively influence periodontal wound healing/regeneration.
In the last years, the use of innovative surgical techniques such as the Modified Coronally Advanced Tunnel (MCAT) or the Laterally Moved Tunnel (LMT) combined with connective tissue grafts or collagen matrices with or without EMD have been proven as predictable methods for obtaining predictable coverage of single and multiple gingival recessions, latest data indicating long-term (up to 10 years) stability of the results. In certain, well selected, cases the MCAT has been also successfully used to correct soft tissue defects around dental
The present course will provide the scientific background for a biologically driven philosophy in reconstructive periodontal surgery while presentations of clinical cases and of surgical videos will demonstrate the step-by- step procedure of these concepts in various clinical scenarios.