DR. EDWARD P. ALLEN
ORAL PLASTIC SURGERY & TUNNELING PROCEDURE
GINGIVAL RECESSION Instrument: CP-11 Color Coded Probe
INITIAL INCISION Instrument: Allen End-Cutting Intrasulcular Knife The initial incision is made within the sulcus to sever the attachment from the base of the sulcus to the osseous crest with the KPA.
Mandibular premolar with 3mm of recession and a narrow, thin zone of attached gingiva. This site will be treated by a minimally invasive grafting technique.
BLUNT DISSECTION Instrument: Micro Elevator A full thickness mucoperiosteal pouch is raised by blunt subperiosteal dissection using a Allen Periosteal Elevator.
PAPILLA ELEVATION Instrument: Younger-Good 7/8 Curette This curette is used as a curved elevator to separate the papilla from the interdental osseous crest.
ROOT PREPARATION Instrument: Younger-Good 7/8 Curette This curette is also used to plane the exposed root, removing any deposits and smoothing the surface.
SHARP DISSECTION Instrument: Allen Modified Orban Knife and Allen Arrowhead Knife The pouch is extended and mobilized by sharp supraperiosteal dissection apically and laterally starting with the Arrowhead Knife to minimize injuring the overlying tissue while engaging irregularities and undercuts followed by the Modified Orban Knife to ensure complete dissection of random fiber attachments.
GRAFT PLACEMENT 6-0 Polypropylene Suture The Alloderm graft is inserted into the pouch using the Younger-Good 7/8 curette.
6-0 SUTURING 6-0 Polypropylene Suture
Using 6-0 Polypropylene suture and a Micro Castro needle holder, coronally advance the pouch and graft to the CEJ simultaneously with a sling suture.
SUTURE REMOVAL At 8 weeks post-surgery, the suture is removed. The suture removal is facilitated by use of the Allen/Johnston Suture Removal Kit.
SIX MONTHS AFTER GRAFTING Complete root coverage and increased dimensions of attached gingiva have been achieved.
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