Lesson 59 of 114
Esthetic treatment of altered passive eruption
GZ
Giovanni Zucchelli
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This lesson is part of the course
Zucchelli Channel International
114 lessons · 98h 30min
What it covers
In this ReLIVE Surgery, Prof. Zucchelli will deal with a patient with a gummy
smile caused by a moderate altered passive eruption and a very flat outline of the soft tissue margin.
Special attention will be paid to the removal of a reddish tissue’s area that never disappeared despite a good plaque control.
The treatment plan will start with the modification of the flap design to harvest the reddish part of the tissue for histological analysis.
Then, the treatment will be finalized with the repositioning of the soft tissue margin at the level of the cementum enamel junction.
In particular, in this ReLIVE Surgery, the following topics will be treated:
- Full thickness elevation of the flap
- The disepithelization of the papilla
- Soft tissue management of the flap
- Soft tissue repositioning
- Suture procedure and case finalization
The course's lessons 114 lessons
The first stage of this learning experience focuses on the theoretical aspects
characterizing the rationale behind periodontal surgery.
Participants will receive a comprehensive and up-to-date training on the latest developments in the surgical management of simple and complex cases with standard and replicable protocols.
The module includes 5 theoretical video lectures featuring the presentation of various clinical cases, followed by 2 final ReLIVE Surgeries that are shown and discussed step by step to put the previously presented theoretical concepts into practice.
Specific attention is paid to periodontal anatomy and diagnosis, palatal connective graft harvesting and placement techniques, and the management of coronal displaced flaps.
Participants will receive a comprehensive and up-to-date training on the latest developments in the surgical management of simple and complex cases with standard and replicable protocols.
The module includes 5 theoretical video lectures featuring the presentation of various clinical cases, followed by 2 final ReLIVE Surgeries that are shown and discussed step by step to put the previously presented theoretical concepts into practice.
Specific attention is paid to periodontal anatomy and diagnosis, palatal connective graft harvesting and placement techniques, and the management of coronal displaced flaps.
189.00 €
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Coronally advanced flap with vertical releasing incisions (trapezoidal flap)Giovanni Zucchelli
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Connective tissue graft "wall" technique in the treatment of gingival recession associated with vertical bony defectsGiovanni Zucchelli
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Esthetic treatment of altered passive eruption
Giovanni Zucchelli
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Renewals 2024 - Increase in the anterior papilla prior to orthodontic treatmentGiovanni Zucchelli
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7779.00 €
In this second module, Dr. Zucchelli deals with the techniques
and protocols that every periodontist should fully master to manage the
treatment of single gingival recession with competence and efficiency.
From the protocol for coronal flap repositioning to the techniques for the harvesting, processing and positioning of palatal connective grafts, passing through the analysis of the best practices for clinical crown lengthening and augmentation, to the use of matrices for root coverage.
The module consists of 6 ReLIVE Surgeries in which the participant will be guided step by step in the process of acquisition of practical and theoretical skills that will assist him in the continuation of his daily clinical activity.
From the protocol for coronal flap repositioning to the techniques for the harvesting, processing and positioning of palatal connective grafts, passing through the analysis of the best practices for clinical crown lengthening and augmentation, to the use of matrices for root coverage.
The module consists of 6 ReLIVE Surgeries in which the participant will be guided step by step in the process of acquisition of practical and theoretical skills that will assist him in the continuation of his daily clinical activity.
- 6Crown lengthening procedure on fractured premolar23min
- 7Gingival recession treatment on lower central incisor30min
- 8Laterally moved flap for single gingival recession coverage on lower central incisor49min
- 9CAF + CTG on single recession in the upper jaw: how to deal with the complete absence of apical KT and vestibular depth1h 3min
- 10Surgical resolution of single gingival recession on lower incisor: focus on flap extension management considerations in presence of frenulum, absence of kt and thin phenotype1h 4min
- 11Coronally advanced flap and connective graft for gingival recession resolution in zone 261h 36min
- 61Treatment of a palatal recession31min
- 78Renewals 2025 - Coronal Advancement for a Deep Defect on Lateral Incisor and Management of Recession on Adjacent Central Incisors1h 37min
- 80Renewals 2025 - Management of the Thin Papilla between the Two Premolars with Simultaneous Coronally Advanced Flap57min
After having comprehensively discussed single gingival recessions,
in this training module Dr. Zucchelli's main focus is on the management of multiple recessions.
The techniques examined in the previous module such as coronal flap displacement and the application of grafts and matrices represent the basis for approaching the clinical cases presented here.
Thanks to the ReLIVE Surgeries, commented punctually by Dr. Zucchelli, participants will observe the protocols for performing distal releases and the innovative 'Connective Wall Technique'.
The final clinical cases will be exemplary: risk factors are discussed, with a special focus on their prevention and intra-operative management.
The techniques examined in the previous module such as coronal flap displacement and the application of grafts and matrices represent the basis for approaching the clinical cases presented here.
Thanks to the ReLIVE Surgeries, commented punctually by Dr. Zucchelli, participants will observe the protocols for performing distal releases and the innovative 'Connective Wall Technique'.
The final clinical cases will be exemplary: risk factors are discussed, with a special focus on their prevention and intra-operative management.
- 12Coronally advanced flap with connective tissue graft for multiple recession treatment and interdental papilla improvement1h 12min
- 13Coronally advanced flap with connective tissue graft for multiple recession treatment of the lower incisors1h 5min
- 14Multiple bilaminar technique with vertical incision in the upper jaw with recession coverage by alternative matrix graft1h
- 15Treatment of multiple gingival recession with combined tissue graft1h 7min
- 16Multiple recession treatment in the esthetic area with coronally advanced flap and connective tissue graft45min
- 17Anterior conservative surgery in the upper jaw with connective tissue graft38min
- 18Multiple recession treatment with mixed tissue graft: CTG on 23 and collagene matrix on 241h 3min
- 19Vertical Advanced Flap (VAF) with simultaneous CTG on 31 and 411h 2min
- 20Surgical resolution of multiple gingival recessions: the False Gingival Recession Technique1h 2min
- 21Coronally advanced flap and connective graft for the treatment of two gingival recessions in zone 33-341h 16min
- 65False recession to perform a flap to treat multiple recessions1h 1min
- 66Renewals 2024 - Treatment of multiple recessions with a focus on the coronal attachment of the frenulum, narrow papilla, and the deficiency of keratinized gingiva1h 1min
- 67Renewals 2024 - Recession on highly vestibularized canines and reduced recessions on the fourth and fifth1h 11min
- 70Renewals 2024 - The management of multiple gingival recessions with different depths53min
- 73Renewals 2024 - Multiple gingival recessions in the posterior mandibular areas57min
The bilaminar technique is increasingly used to manage recessions due
to its effectiveness and predictability, without considering the
biological advantages that allow better tissue healing.
In this module, Dr. Zucchelli illustrates the protocols behind the bilaminar grafting technique in mucogingival surgery.
The differences between the use of single and multiple bilaminar flaps is discussed and the rationale behind the selection of one or the other flap is explained.
Through the viewing of ReLIVE Surgeries, participants will experience surgical procedures for covering severely deep gingival recessions and managing very exposed root elements.
In this module, Dr. Zucchelli illustrates the protocols behind the bilaminar grafting technique in mucogingival surgery.
The differences between the use of single and multiple bilaminar flaps is discussed and the rationale behind the selection of one or the other flap is explained.
Through the viewing of ReLIVE Surgeries, participants will experience surgical procedures for covering severely deep gingival recessions and managing very exposed root elements.
This module, fully focused on periodontal regenerative procedures,
comprises 4 theoretical lectures preparatory to the optimal fruition
of the following ReLIVE Surgeries.
Dr. Zucchelli presents the rationale behind the decision whether to extract or regenerate the dental element according to the different entities of the periodontal defect.
Diagnostic protocols, various types of vertical bone defects and techniques such as the Wall Technique are examined in detail in the initial theoretical part of the course and then transferred into practice with the ReLIVE Surgeries.
Dr. Zucchelli presents the rationale behind the decision whether to extract or regenerate the dental element according to the different entities of the periodontal defect.
Diagnostic protocols, various types of vertical bone defects and techniques such as the Wall Technique are examined in detail in the initial theoretical part of the course and then transferred into practice with the ReLIVE Surgeries.
- 25Soft tissue management in periodontal regeneration1h 11min
- 26Diagnosis and prognosis of vertical bony defects42min
- 27A Novel approach to minimizing gingival recession in periodontal regeneration: the importance of non-surgical therapy21min
- 28A Novel approach to minimizing gingival recession in periodontal regeneration: surgical therapy40min
- 29Multiple gingival recession surgical treatment and combined tissue regeneration with amelogenin gel matrix and alternative dermal tissue xenograft26min
- 30Central incisor coronally advanced flap and contextual connective tissue graft on the lingual side12min
- 31Wall technique with single flap approach for periodontal regeneration on lower incisors 1h 6min
- 58Regenerative surgery on a vertical defect on tooth 2318min
- 74Renewals 2024 - Advancements in Regenerative Periodontal Therapy for Frontal Area Intraosseous Defects57min
- 86Renewals 2025 - Complex Case of Periodontal Regeneration on the Entire Upper Arch1h 21min
In this module, Dr. Zucchelli gives participants a comprehensive
overview of the most important aspects of peri-implant soft tissue
treatment and prevention.
The similarities and differences between recessions around teeth and those around implants are thoroughly explained, and complex treatment protocols such as post-implant vestibuloplasty are reviewed.
In addition, participants will discover the risk factors of the regenerative therapy in the aesthetic area and how to address and prevent them.
Complete surgery with implant placement using a computer-guided approach is also shown, and the strategies for achieving aesthetically pleasing results are analysed.
The similarities and differences between recessions around teeth and those around implants are thoroughly explained, and complex treatment protocols such as post-implant vestibuloplasty are reviewed.
In addition, participants will discover the risk factors of the regenerative therapy in the aesthetic area and how to address and prevent them.
Complete surgery with implant placement using a computer-guided approach is also shown, and the strategies for achieving aesthetically pleasing results are analysed.
- 32Soft tissue management around implants37min
- 33Factors associated with mucosal recession around osteointegrated implants29min
- 34Immediate implant placement with simultaneous connective tissue graft1h 15min
- 35Coronally advanced flap with connective tissue graft on implants49min
- 36Guided implant placement with connective tissue graft39min
- 37Implant placement with contextual coronally advanced flap21min
- 38 Implant placement on element 21 and contextual hard and soft tissue augmentation1h 41min
- 63Immediate loaded guided implants with bone reconstruction and CTG1h 19min
- 69Renewals 2024 - Bone regeneration procedure with a membrane anchored to the periosteum in implant therapy and soft tissue augmentation1h 39min
- 72Renewals 2024 - Connective Tissue Graft for Aesthetic Correction of Gingival Translucency Adjacent to an Implant1h 11min
- 39Soft tissue dehiscence coverage around implant-supported crowns: key factors45min
- 40Surgical technique: soft tissue dehiscence around single implant-supported crown1h 25min
- 41Soft tissue management before and after single implant placement: buccal dehiscence prevention59min
- 42Post-extractive implant placement and immediate loading in aestethic area with contextual CTG41min
- 43Peri-implant soft tissue dehiscence/deficiencies in the esthetic zone36min
- 44Multidisciplinary surgical-prosthetic approach to implant displacement and contextual esthetic crown lengthening of the adjacent elements1h 45min
- 45Guided post-extractive implant with immediate loading on element 111h 36min
- 46Guided post-extractive implant on lateral incisor 221h 26min
- 47Post-extraction guided implant surgery in zone 11 with CTG graft1h 26min
- 60Post-extractive guided implant in zone 11 with bone recontruction and soft tissue augmentation 1h 23min
- 71Renewals 2024 - Soft tissue augmentation in post-extraction implant therapy1h 5min
- 75Renewals 2024 - Immediate post-extractive implant placement in the central incisor with concurrent correction of altered passive eruption of adjacent teeth1h 10min
- 76Renewals 2025 - Implant Placement Post-Extraction and Management of the Resorbed Papilla with Simultaneous Treatment of Adjacent Multiple Recessions54min
- 81Renewals 2025 - Treatment of Soft Tissue Dehiscences Around Implants1h 17min
- 82Renewals 2025 - Approach to the Management of a Small Vestibular Soft Tissue Dehiscence of an Implant in the Upper Lateral Area49min
- 84Renewals 2025 - Soft tissue approach to immediate post-extraction implant installation44min
- 87Renewals 2025 - Immediate Post-Extraction Implant of the First Premolar with Papilla Reconstruction and Tissue Augmentation, Followed by the Placement of a Second Implant in the First Molar Site57min
This module offers the latest guidelines on soft
tissue augmentation procedures around osteointegrated implants.
Among the covered topics there are keratinised tissue augmentation, the performance of mucogingival surgery for implant coverage, and the use of the connective platform technique to fill edentulous saddles.
During the 6 ReLIVE Surgeries in this module, participants will acquire the knowledge and confidence necessary to successfully perform these complex procedures.
Among the covered topics there are keratinised tissue augmentation, the performance of mucogingival surgery for implant coverage, and the use of the connective platform technique to fill edentulous saddles.
During the 6 ReLIVE Surgeries in this module, participants will acquire the knowledge and confidence necessary to successfully perform these complex procedures.
- 48Lingual to buccal and apical to coronal soft tissue improvement of edentulous area with contextual CAF26min
- 49Esthetics on natural teeth and implants: thickness VS attachment1h 26min
- 50Bucco-lingual soft tissue improvement under implant-supported bridge in the esthetic area 55min
- 51The connective tissue platform technique: tridimensional soft tissue augmentation of edentulous space on maxillary central incisor1h 39min
- 52Soft tissue augmentation in zone 212h 5min
- 62Guided implant on a healed crest with CTG 1h 5min
- 64Guided implant on site 35 with connective tissue graft29min
- 79Renewals 2025 - New Mucogingival Approach with Buccal Soft Tissue Augmentation in Lateral Agenesis before Implant Placement47min
The last module of the learning experience offered by
"Zucchelli Channel" sees an in-depth discussion about the
management of gingival recessions and soft tissue around the implant.
Dr. Zucchelli provides an in-depth explanation aimed at making participants aware of the procedures for immediate post-extractive implant placement with and without the use of CTG.
At the end of this module, participants will be able to manage complex cases and perform in the best possible way each surgical step preparatory to achieving optimal aesthetic-functional results.
Dr. Zucchelli provides an in-depth explanation aimed at making participants aware of the procedures for immediate post-extractive implant placement with and without the use of CTG.
At the end of this module, participants will be able to manage complex cases and perform in the best possible way each surgical step preparatory to achieving optimal aesthetic-functional results.
- 53Multiple recession treatment on teeth and implant with coronally advanced flap and multiple tissue graft58min
- 54Gingival recession treatment on implant in central incisor position1h 3min
- 55Buccal peri-implant soft tissue defect resolution via CTG+CAF1h 20min
- 56Implant placement on element 14 and contextual CTG with simultaneous resolution of multiple gingival recession1h 7min
- 57Upper central incisor implant esthetic correction1h 5min
- 83Renewals 2025 - Management of the Papilla and Coverage with a Connective Tissue Graft for Optimizing the Implant Emergence Profile43min
- 85Renewals 2025 - Mucogingival Surgery for the Treatment of a Vestibular Esthetic Issue on Implant in Site 221h 8min
- 88Renewals 2026 - Coronobuccolingual Soft Tissue Augmentation and Treatment of Interproximal Recession with Attachment Loss1h 33min
- 89Renewals 2026 - Soft Tissue Augmentation and Bone Defect Regeneration in the Canine–Premolar Area of an Orthognathic Patient with Root Coverage and Papilla Reconstruction48min
- 90Renewals 2026 - Treatment of Grade II Furcation Defects with Horizontal Probing on Lower First and Second Molars Using the Wall Technique57min
- 91Renewals 2026 - Soft Tissue Augmentation of the Pontic–Implant Area with Papilla Reconstruction and Passive Eruption Correction of the Central and Lateral Incisors1h 7min
- 92Renewals 2026 - Treatment of Multiple Anterior and Posterior Recessions on Five Teeth Using a Coronally Advanced Flap without Vertical Releasing Incisions55min
- 93Renewals 2026 - Combined Treatment of a Single Recession with Limited Keratinized Tissue on Tooth 4 and Optimization of the Prosthetic Emergence Profile on Canine and Lateral Incisor Using a Coronally Advanced Flap and Connective Tissue Graft at the Molar Level1h
- 94Renewals 2026 - Conservative Surgical Approach with Intrasulcular Rolling Technique in Orthodontic Patient with Horizontal Bone Loss1h 21min
- 95Renewals 2026 - Management of Implant Malposition and Buccal Soft Tissue Optimization1h 8min
- 96Renewals 2026 - Bilaminar Coronally Advanced Flap and Localized Connective Tissue Graft for the Management of the Defect on Tooth 41 and Phenotype Enhancement on Tooth 31 in the Absence of Keratinized Tissue54min
- 97Renewals 2026 - Periodontal Regeneration with the Wall Technique for an Extensive Infrabony Defect in the Mandibular Incisor Area
- 98Renewals 2026 - Root Coverage of Central Incisor Recession in an Orthognathic Patient Using Bilaminar Technique Before Interincisal Expansion
- 99Renewals 2026 - Wide and Deep Single Recession with Coronal Frenulum Insertion and Limited Keratinized Tissue
- 100Renewals 2027 - Peri-Implant Soft Tissue Refinement After Multiple Grafts: Correcting Excess Volume and Double Contour
- 101Renewals 2027 - Post-extractive Immediate Implant Placement in a Central Incisor With Thin Tissues: Connective Tissue Grafting and Papilla Management
- 102Renewals 2027 - Correction of Superficial Metallic Pigmentation in the Esthetic Zone
- 103Renewals 2027 - Immediate Implant Placement in a Premolar Site: Soft Tissue Preparation and Augmentation, Provisionalization and Gap Management
- 104Renewals 2027 - Implant Placement After Vertical Soft Tissue Augmentation: How to Achieve Papilla Reconstruction and a Correct Emergence Profile
- 105Renewals 2027 - Lower Incisor Recessions With a Thin Phenotype: Planning V-CAF and Connective Tissue Grafting
- 106Renewals 2027 - Inter-implant papilla reconstruction in the aesthetic zone following previous buccal soft tissue augmentation
- 107Renewals 2027 - Mucogingival Approach to Posterior Implant Placement: Increasing Supracrestal Soft Tissue Thickness
- 108Renewals 2027 - Papilla Reconstruction and Soft Tissue Augmentation Before Implant Placement: Platform Technique
- 109Renewals 2027 - Vertical Soft Tissue and Papilla Reconstruction in an Anterior Edentulous Site With Connective Tissue Grafting
- 110Renewals 2027 - Implant Placement With Papilla and Soft Tissue Reconstruction Following Traumatic Loss of an Incisor
- 111Renewals 2027 - Lower Incisor Recession With Limited Vestibular Depth: Managing a Coronally Attached Frenulum, Muscle Pull and the Adjacent Tooth
The instructor
GZAll their courses
Giovanni Zucchelli
Giovanni Zucchelli, DDS, Ph.D. graduated in 1988 from the University of Bologna, Italy with a degree in dentistry. He was Professor of Periodontology and Implantology at the University of Bologna, Italy, from 2000 to 2025. Giovanni Zucchelli received many awards for clinical research in periodontology in Europe and the United States. Innovator of several soft tissue plastic surgical techniques, he is also author of more than 100 publications in Pubmed. He is speaker at major international conferences on periodontology and has taught theoretical and practical (with live surgery) courses in numerous countries. Zucchelli is the author of the book titled, "Mucogingival Esthetic Surgery" best seller from Quintessence Publishing which is published in 10 different languages and co-author of two illustrated textbooks on periodontal plastic surgery (Ed. Martina) and of the chapter "Mucogingival Therapy-Periodontal Plastic Surgery" in Clinical Periodontology and Implant Dentistry (Lindhe J, Lang NP, Karring T [eds], Wiley-Blackwell).
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Esthetic treatment of altered passive eruption
79.00 €+ VAT
